Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Extensive Gastric Mucosal Laceration During Endoscopic Examination

상부위장관 내시경 검사 중 발생한 거대 위점막 열상

  • Chun, Han-Byul (Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Baek, Il-Hyun (Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Shin, Su-Rin (Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Hyo-Jung (Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Jin-Bae (Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Myung-Seok (Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine)
  • 전한별 (한림대학교 의과대학 강남성심병원 내과학교실) ;
  • 백일현 (한림대학교 의과대학 강남성심병원 내과학교실) ;
  • 신수린 (한림대학교 의과대학 강남성심병원 내과학교실) ;
  • 김효정 (한림대학교 의과대학 강남성심병원 내과학교실) ;
  • 김진배 (한림대학교 의과대학 강남성심병원 내과학교실) ;
  • 이명석 (한림대학교 의과대학 강남성심병원 내과학교실)
  • Received : 2009.12.24
  • Accepted : 2010.04.03
  • Published : 2010.05.30
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Abstract

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.

상부위장관 내시경 검사 중 발생하는 거대 위점막 열상의 빈도는 매우 드물다. 열상의 위치나 범위로 보아 일반적인 Mallory-Weiss 열상과는 차이가 있으나 그 발병기전은 유사하다. Mallory-Weiss 열상의 선행인자로 식도 열공, 위축성 위염, 고령 등이 있다. 고령의 환자에서 상부위장관 내시경 검사 중 발생한 위점막 열상 중 위식도 접합부에서 위각부에 이르는 거대 위점막 열상에 대한 보고는 국내에 1예가 있을 뿐이다. 저자들은 체표면적과 위가 매우 작은 82세 여자에서 내시경 시행 중 거대 위점막 열상이 발생하였고 금속클립으로 치유한 것을 경험하였기에 문헌 고찰과 함께 보고한다.

Keywords

References

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