| Endoscopic treatment of spontaneous intramural dissection of the esophagus: A case report |
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Byoung Hee Kim, Ki Tae Kang, Kyoung Tae Kim, Eun Hee Park, Sung Wook Lee, Sang Young Han, Jin Seok Jang |
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경희대학교 의과대학 순환기내과학교실 |
| 증례 : 내시경으로 치료한 자발성 점막내 식도 박리증 1예 |
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김병희&#;강기태&#;김경태&#;박은희&#;이성욱&#;한상영&#;장진석, Ki Tae Kang, Kyoung Tae Kim, Eun Hee Park, Sung Wook Lee, Sang Young Han, Jin Seok Jang |
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| Abstract |
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Spontaneous intramural dissection of the esophagus is a rare esophageal disorder that shows characteristic features
on radiologic and endoscopic examinations. The presenting symptoms include sudden severe retrosternal pain,
hematemesis, odynophagia, and dysphagia. The diagnosis is made by contrast esophagography, esophageal endoscopy,
and computed tomography.
Conservative management is usually successful. Surgery should be reserved for the cases of protracted disease or
perforation with mediastinitis. We experienced a case of a 59-year-old man who complained of retrosternal pain,
dysphagia and odynophagia. The findings of upper gastrointestinal endoscopy and esophagogram were compatible with
spontaneous intramural esophageal dissection. The patient's symptoms did not improve with conservative management.
We then treated the patient with an endoscopic incision of the septum between the true and false lumens using a needle
type papillotome and an IT knife (insulated-tip knife).(Korean J Med 73:S930-S934, 2007) |
| Key Words:
Intramural esophageal dissection, Endoscopic treatment |
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