Korean Journal of Gastrointestinal Endoscopy 1993;13(4): 653-656.
21년간 위루술관을 통해 영양섭취를 해온 부식성 식도협착증 환자의 부지확장술 치험 1예 ( Bougie Dilatation of a Patient with Esophageal Lye Stricture Fed with Gastrostomy Tube for 21 Years - A case report - )
박광주, 박효진, 이관식, 정준표, 이상인, 박인서, 최흥재 (Kwang Joo Park, Hyo Jin Park, Kwan Sik Lee, Jun Pyo Chung, Sang In Lee, In Suh Park and Heung Jai Choi)
Abstract
The patient was a 51 year-old woman suffering fraen dysphagia due to upper esoyhageal lye stricutue whieh had developed as a result of a suicide attempt 21 years ago. Shortly after that, she underwent feeding gastrostomy and has lived in the gastrostomy state for 2l years. After admission, she underwent a barium esophagoram which revealed a near total obstruction at the cricoid cartilage level. Bougie dilatation with American Dilation System was tried on day 3. But the spring tip marked guide wire which was to be used with the American Dilation System could not be passed through the stricuture. Therefore, we performed a bougie dilatation using angiographic guide wire M(H-AG-35in-150 cm) with success. On day 14, she underwent a barium esophagogram which revealed her improved condition, and she was discharged on day 16.
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