Korean J Gastrointest Endosc > Volume 34(4); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(4): 200-204.
대량의 상부위장관 출혈을 유발한 중부식도의 견인게실 1예
장창수·권광안·최수진*·김연석·구양서·송기섭·장욱순·유상균·박동균·김유경·김주현
가천의과학대학교 내과학교실, *영상의학교실
Massive Upper Gastrointestinal Bleeding from a Traction Type of Diverticulum in the Midesophagus
Chang Soo Jang, M.D., Kwang An Kwon, M.D., Soo Jin Choi, M.D.*, Yeon Suk Kim, M.D., Yang Suh Ku, M.D., Kee Sup Song, M.D., Uk Sun Chang, M.D., Sang Kyun Yu, M.D., Dong Kyun Park, M.D., Yu Kyung Kim, M.D. and Ju Hyun Kim, M.D.
Departments of Internal Medicine and *Radiology, Gachon University Gil Medical Center, Incheon, Korea
Abstract
The common sites of esophageal diverticula are the pharyngoesophageal junction, midesophagus and epiphrenic. The pathophysiological mechanisms of acquired esophageal diverticula are traction and pulsion forces. Traction diverticula of the midesophagus are usually asymptomatic, and found incidentally on an esophagogastroduodenoscopy or barium contrast esophagogram. Midesophageal traction diverticula are caused by inflammatory processes between the external wall of the esophagus and the adjacent structure. Pneumonia, bronchoesophageal fistula and gastrointestinal bleeding can occur due to an extension of inflammatory process into the lung or blood vessels. There are a few reports of midesophageal diverticular bleeding. We present a case of massive upper gastrointestinal bleeding from a traction diverticulum of the midesophagus that was successfully managed by endoscopic treatment. (Korean J Gastrointest Endosc 2007;34:200⁣204)
Key Words: Esophageal diverticulum, Upper gastrointestinal bleeding, Endoscopy
주요어: 식도게실, 상부위장관출혈, 내시경검사
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