Korean J Gastrointest Endosc > Volume 35(5); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(5): 328-331.
수면 내시경검사 도중 발생된 천공을 동반한 점막하 식도박리 1예
고신대학교 의과대학 소화기내과학교실
A Case of Esophageal Submucosal Dissection that Developed during Conscious Sedation Endoscopy
Hong Jun You, M.D., Moo In Park, M.D., Kyu Jong Kim, M.D., Won Moon, M.D., Sun Jung Kim, M.D., Sung Woo Yang, M.D., Se Young Park, M.D., Woo Seong Jeon, M.D., Dong Yang Park, M.D., Jun Young Song, M.D. and Seun Ja Park, M.D.
Department of Gastroenterology, College of Medicine, Kosin University, Busan, Korea
Esophageal submucosal dissection is a rare condition, resulting in the separation of the submucosa and muscle layer by mucosal laceration and bleeding. Possible causes are external trauma, foreign body entrapment, endoscopic instrumentation and even spontaneous dissection. Typical endoscopic findings show a false lumen from the torn mucosa and a muscle layer in the false lumen. Esophagography shows a "double barrelled" appearance. A dissection can be resolved with conservative management. We experienced a case of a submucosal dissection of the esophagus with perforation, an unusual complication of conscious sedation endoscopy. (Korean J Gastrointest Endosc 2007;35:328-331)
Key Words: Esophageal submucosal dissection, Conscious sedation endoscopy
주요어: 점막하 식도 박리, 수면내시경검사
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