Clinical Endoscopy

  • 제42권3호
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  • Pages.157-160
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  • 2011
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
권호 표지

위벽에 누공을 형성한 여러 개의 자석 이물을 내시경 점막하 절개술로 제거한 1예

A Case of Ingesting Multiple Magnets Removed by Endoscopic Submucosal Dissection

  • Gil, So-Hyun (Department of Internal Medicine, Presbyterian Medical Center) ;
  • Cho, Yong-Keun (Department of Internal Medicine, Presbyterian Medical Center) ;
  • Cho, Jin-Woong (Department of Internal Medicine, Presbyterian Medical Center) ;
  • Kim, Ji-Woong (Department of Internal Medicine, Presbyterian Medical Center) ;
  • Jung, Gum-Mo (Department of Internal Medicine, Presbyterian Medical Center) ;
  • Lee, Young-Jae (Department of Internal Medicine, Presbyterian Medical Center) ;
  • Park, Sang-Hoon (Department of Internal Medicine, Presbyterian Medical Center)
  • 발행 : 2011.03.30
⟨ 이전 논문 다음 논문 ⟩

초록

소화관 이물은 소아에서 흔하지만 자석을 삼키는 경우는 드물다. 하나의 자석을 삼킨 경우에는 심각한 문제 없이 자연 배출되는 경우가 대부분이지만, 여러 개의 자석을 삼킨 경우에는 압박괴사, 장천공, 소화관 누공, 장폐색, 장축염전 등의 합병증을 유발할 수 있어 주의를 요한다. 이와 같은 합병증이 유발된 여러 개의 자석 이물의 경우 대부분 수술적 치료를 요하며, 아직까지 비수술적 치료의 보고는 없다. 이에 저자들은 7개의 작은 원형 자석을 삼킨 후 위벽에 누공을 형성하여 수술적 치료없이 내시경 점막하 절개술 방법으로 성공적으로 자석을 제거하여 보고한다.

Foreign body ingestion is common in children, but magnet ingestion is rare. Ingestion of one magnet does not creat a serious problem; however, ingesting multiple magnet can lead to hazardous complications such as pressure necrosis, intestinal perforation, fistula formation, obstruction and intestinal volvulus. Most cases with complications after multiple magnet ingestion require surgical intervention. We report a case of a fistula following the ingestion of seven small, flat and round magnets that were removed successfully by endoscopic submucosal dissection without surgery.

키워드

참고문헌

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