Korean J Gastrointest Endosc > Volume 37(1); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(1): 35-39.
내과적으로 치료한 날카로운 의치에 의한 식도 천공 1예
경희대학교 의과대학 내과학교실
A Case of a Sharp Denture-Induced Esophageal Perforation Managed by Medical Treatment
Jae Myung Cha, M.D., Joung Il Lee, M.D., Jae Won Choe, M.D., Kwang Ro Joo, M.D., Sung Won Jung, M.D. and Hyun Phil Shin, M.D.
Department of Internal Medicine, Kyunghee University College of Medicine, Seoul, Korea
Foreign bodies in the esophagus are regarded as clinically important as they cause symptoms such as pain and dysphagia and can cause complications such as perforation. Recent progress in therapeutic endoscopy has made it possible to extract most foreign bodies in the esophagus. However, endoscopic extraction of sharp foreign bodies impacted in the esophagus may be a difficult and complicated procedure. Although rapid surgical intervention is the main treatment for esophageal perforation, medical treatment can be successful for a minor perforation after early diagnosis if the perforation size is small and symptoms or signs associated with the perforation are mild. We report a case of a sharp denture- induced esophageal perforation managed by medical treatment that consisted of parenteral nutrition and antibiotics. This case highlights the necessity for an early diagnosis and treatment for an esophageal perforation, which can occur even after removal of a foreign body. (Korean J Gastrointest Endosc 2008;37:35-39)
Key Words: Foreign body, Esophagus, Perforation, Medical treatment
주요어: 식도 이물, 식도, 천공, 내과적 치료
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