Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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A Case of Aortoesophageal Fistula Complicated by a Stent for Benign Esophageal Stricture

양성 식도 협착에서 스텐트 삽입에 의한 대동맥 식도 누공 1예

  • Kim, Ja-Won (Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital) ;
  • Bang, Sung-Jo (Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital) ;
  • Kim, Do-Ha (Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital) ;
  • Jung, Hee-Chul (Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital) ;
  • Oh, Ssang-Yong (Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital) ;
  • Lee, Sang-Jin (Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital) ;
  • Lee, Ji-Eun (Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital) ;
  • Lee, Jeong-Hoon (Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital)
  • 김자원 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 방성조 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 김도하 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 정희철 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 오쌍용 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 이상진 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 이지은 (울산대학교 의과대학 울산대학교병원 내과학교실) ;
  • 이정훈 (울산대학교 의과대학 울산대학교병원 내과학교실)
  • Received : 2010.02.11
  • Accepted : 2010.06.06
  • Published : 2010.06.30
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Abstract

Self-expandable metallic stents (SEMS) are widely used for the palliative treatment of malignant strictures of the gastrointestinal tract. Recently, several studies tested whether a SEMS is an effective and safe option for benign esophageal stricture. Serious complications such as hemorrhage, compression of the bronchus, bronchoesophageal fistula, and esophageal rupture were infrequently encountered as complications of esophageal stent placement. Aortoesophageal fistula is extremely rare as a complication of esophageal SEMS insertion; only seven cases have been reported worldwide. We now report a case of an 80-year old female with aortoesophageal fistula after placement of a SEMS for an esophageal stricture.

양성 식도 협착에서 풍선이나 부우지 확장술 후에도 재협착이 반복되는 경우 자가 팽창성 금속 스텐트(Self-expandable metal stents, SEMS)를 일시적으로 삽입하는 방법이 시도되고 효과적임이 보고되었다. 그러나 SEMS에 의한 출혈, 기관지의 압박, 기관지식도 누공, 식도 파열과 같은 심각한 합병증이 드물게 발생한다. 특히, 대동맥식도 누공은 세계적으로 7예만이 보고되었다. 저자들은 빙초산에 의한 식도의 양성 협착에서 SEMS를 16개월간 거치했던 환자에서 대동맥식도 누공이 발생한 증례를 경험하였기에 문헌고찰과 함께 보고한다.

Keywords

References

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