Pediatric Gastroenterology, Hepatology & Nutrition
- 제4권2호
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- Pages.218-223
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- 2001
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- 2234-8646(pISSN)
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- 2234-8840(eISSN)
신경학적 증상으로 내원한 분문 무이완증 1례
A Case of Achalasia Complained of Neurologic Symptom
- 박성식 (부산대학교 의과대학 소아과학교실) ;
- 남상욱 (부산대학교 의과대학 소아과학교실) ;
- 이준우 (부산대학교 의과대학 진단방사선과학교실) ;
- 박재홍 (부산대학교 의과대학 소아과학교실)
- Park, Seong-Shik (Department of Pediatrics, College of Medicine, Pusan National University) ;
- Nam, Sang-Ook (Department of Pediatrics, College of Medicine, Pusan National University) ;
- Lee, Jun-Woo (Department of Diagnostic Radiology, College of Medicine, Pusan National University) ;
- Park, Jae-Hong (Department of Pediatrics, College of Medicine, Pusan National University)
- 투고 : 2001.06.02
- 심사 : 2001.07.10
- 발행 : 2001.09.30
초록
저자들은 신경학적 증상을 주소로 내원한 환아에서 분문 무이완증을 진단하고 풍선확장술로 치험하였기에 문헌 고찰과 함께 보고하는 바이다.
Achalasia is a rare motor disorder of the esophageal smooth muscle in which the lower esophageal sphincter dose not relax properly with swallowing, and the normal peristalsis of the esophageal body is replaced by abnormal contractions. Achalasia has been described as party of several distinct multisystem syndromes suggesting a generalized neuromuscular disorder as the mode of origin. An 11-year-old female was admitted because of paresthesia on the trunk and both legs for 5 days. She had suffered from chest discomfort, dysphagia, postprandial vomiting, and weight loss for 6 months. She was diagnosed as having achalasia by means of the esophagography and esophageal manometry. Her chest discomfort, dysphagia and vomiting much improved after the endoscopic balloon dilatation. The authors present an 11-year-old female with achalasia complained of paresthesia and sucessfully managed by the balloon dilatation.