Korean J Gastrointest Endosc > Volume 40(5); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(5): 321-324.
상부위장관 내시경 검사 중 발생한 거대 위점막 열상
한림대학교 의과대학 강남성심병원 내과학교실
Extensive Gastric Mucosal Laceration During Endoscopic Examination
Han Byul Chun, M.D., Il Hyun Baek, M.D., Su Rin Shin, M.D., Hyo Jung Kim, M.D., Jin Bae Kim, M.D. and Myung Seok Lee, M.D.
Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
Gastric mucosal lacerations occurring during the course of upper gastroduodenal endoscopy are apparently rare. The location and extent of the lesion are little different from the usual one found in the Mallory-Weiss tear. But the pathogenesis of the gastric mucosal tear is similar to that of Mallory-Weiss tear. Hiatal hernia, atrophic gastritis, and old age are predisposing factors for Mallory-Weiss tear. There is currently only one report about extensive gastric mucosal laceration during performance of endoscopy in an elderly patient. During a standard diagnostic endoscopic procedure, we experienced extensive gastric mucosal laceration that ranged from the gastroesophageal junction to the gastric angle in an elderly woman Furthermore, her body surface area and stomach size were very small. The patient was treated successfully with hemoclip application for the laceration. We report on the case along with a review of the relevant literature. (Korean J Gastrointest Endosc 2010;40:321-324)
Key Words: Gastric mucosal laceration, Hemoclip, Body surface area
주요어: 위점막 열상, 금속클립, 체표면적
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