Korean J Gastrointest Endosc > Volume 36(6); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(6): 366-370.
보존적 치료로 호전을 보인 막부착형 자가팽창성 식도 인공관 삽입 후 발생한 식도 천공 1예
장용석ㆍ조광범ㆍ신요식ㆍ이승현ㆍ장병국ㆍ정우진ㆍ박경식ㆍ황재석
계명대학교 의과대학 내과학교실
A Case of Esophageal Perforation Cured by Conservative Management after Stent Insertion
Yong Seok Jang, M.D., Kwang Bum Cho, M.D., Yo Sig Shin, M.D., Seung Hyun Lee, M.D., Byoung Kuk Jang, M.D., Woo Jin Chung, M.D., Kyeong Sig Park, M.D. and Jae Seok Hwang, M.D.
Department of Internal Medicine, College of Medicine, Keimyung University, Daegu, Korea
Abstract
Esophageal cancer may induce progressive dysphagia. Insertion of a self-expandable metallic stent is widely used to relieve dysphagia. There are previous case reports that have described the use of membrane-covered stents to seal esophageal perforations. Complications of the use of an esophageal stent include bleeding, fistula formation, perforation, pain, tumor ingrowth and migration of the stent. A perforation may occur during or after the insertion of a stent from a contact ulcer due to the sharp ends of the metallic stents. We report a case of esophageal perforation after the insertion of a membrane-covered esophageal stent, which showed perforation at the middle portion of stent due to expansion of the stent. The perforation was sealed without surgical treatment or additional stent insertion. (Korean J Gastrointest Endosc 2008;36:366-370)
Key Words: Esophagus, Stent, Perforation
주요어: 식도, 인공관, 천공
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