The Korean Journal of Medicine

  • 제84권3호
  • /
  • Pages.389-394
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  • 2013
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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식도운동장애와 평활근종을 동반한 횡격막하부 식도게실 1예

Subphrenic Esophageal Diverticulum Associated with Esophageal Dysmotility and Leiomyoma

  • 오장석 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 김의정 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 송정은 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 배지훈 (대구가톨릭대학교 의과대학 흉부외과학교실) ;
  • 정진태 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 권중구 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 김은영 (대구가톨릭대학교 의과대학 내과학교실)
  • Oh, Jang Seok (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Kim, Eui Jung (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Song, Jeong Eun (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Bae, Chi Hoon (Department of Chest Surgery, Catholic University of Daegu School of Medicine) ;
  • Jung, Jin Tae (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Kwon, Joong Goo (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Kim, Eun Young (Department of Internal Medicine, Catholic University of Daegu School of Medicine)
  • 투고 : 2012.05.21
  • 심사 : 2012.06.22
  • 발행 : 2013.03.01
⟨ 이전 논문 다음 논문 ⟩

초록

국내에서 횡경막하부 식도게실에서 식도운동장애와 평활근종이 동시에 확인된 증례의 보고는 없었다. 저자들은 간헐적인 음식물 역류와 속쓰림 증세가 있는 환자에서 식도 평활근종과 그에 동반된 횡경막하부 게실을 발견하고 수술 전 실시한 식도운동 검사에서 식도운동장애를 확인하였으며 게실 절제술 및 점막하 종양 절제술 시행 후 증상이 호전된 증례를 경험하였기에 보고하는 바이다.

Lower esophageal diverticula are frequently related to esophageal motor disorders. An epiphrenic esophageal diverticulum can also have a mechanical cause, such as an esophageal web, benign stricture, or leiomyoma. For a good therapeutic outcome, symptomatic patients with an esophageal diverticulum require a tailored approach. Therefore, it is important to evaluate motor disorders and other associated diseases in a patient with an esophageal diverticulum before devising a therapeutic strategy. We report a case of subphrenic diverticulum associated with an esophageal leiomyoma and motility disorder in a 58-year-old man who had suffered from intermittent regurgitation of food and epigastric soreness.

키워드

참고문헌

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