Korean Journal of Gastrointestinal Endoscopy 2009;38(3): 137-141.
식도 열공 탈장 환자에서 의식하 진정 내시경 중 발생한 거대 위점막 파열
최평락ㆍ문원ㆍ박찬복ㆍ박은호ㆍ이지숙ㆍ김규종ㆍ박무인ㆍ박선자
고신대학교 의과대학 내과학교실
A Gigantic Gastric Mucosal Rupture When Performing Endoscopy under Conscious Sedation in a Patient with Hiatal Hernia
Pyoung Rak Choi, M.D., Won Moon, M.D., Chan Bok Park, M.D., Eun Ho Park, M.D., Ji Suk Lee, M.D., Kyu Jong Kim, M.D., Moo In Park, M.D. and Seun Ja Park, M.D.
Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea
Abstract
Mallory-Weiss syndrome is a tear in the gastro-esophageal junction or its adjacent mucosa, and this occurs due to nausea or vomiting that is caused by various etiologic factors. It may occur in patients with excessive retching and struggling when undergoing upper gastrointestinal endoscopy, and its underlying factors are esophageal hiatal hernia, atrophic gastritis and old age. There are currently only rare reports about gigantic gastric mucosal rupture during performance of upper gastrointestinal endoscopy in patients with esophageal hiatal hernia. We recently experienced a 76-year-old woman who developed a gigantic gastric mucosal rupture that ranged from the gastro-esophageal junction to the gastric angle. This occurred during performance of standard upper gastrointestinal endoscopy with the patient under sedation and the patient had a concurrent esophageal hiatal hernia. The patient was treated conservatively for the rupture. Herein we report on our case along with a review of the relevant literature. (Korean J Gastrointest Endosc 2009;38:137-141)
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