식도 열공 탈장 환자에서 의식하 진정 내시경 중 발생한 거대 위점막 파열 = A Gigantic Gastric Mucosal Rupture When Performing Endoscopy under Conscious Sedation in a Patient with Hiatal Hernia

다국어 초록 (Multilingual Abstract)

Mallory-Weiss syndrome is a tear in the gastro-esophageal junction or its adjacent mucosa, and this occurs due to nausea or vomiting that is caused by various etiologic factors. It may occur in patients with excessive retching and struggling when undergoing upper gastrointestinal endoscopy, and its underlying factors are esophageal hiatal hernia, atrophic gastritis and old age. There are currently only rare reports about gigantic gastric mucosal rupture during performance of upper gastrointestinal endoscopy in patients with esophageal hiatal hernia. We recently experienced a 76-year-old woman who developed a gigantic gastric mucosal rupture that ranged from the gastro-esophageal junction to the gastric angle. This occurred during performance of standard upper gastrointestinal endoscopy with the patient under sedation and the patient had a concurrent esophageal hiatal hernia. The patient was treated conservatively for the rupture. Herein we report on our case along with a review of the relevant literature.

국문 초록 (Abstract)

Mallory-Weiss 열상은 여러 원인의 구역이나 구토에 의해 발생하는 위식도 접합부와 주위 점막의 열상이다. 그 중 상부 위장관 내시경 시행 중 발생하는 Mallory-Weiss 열상의 선행인자로 식도 열공 탈장, 위축성 위염, 고령 등이 보고 되고 있다. 한편, 식도 열공 탈장 환자에서 상부 위장관 내시경 시행 중 발생한 Mallory-Weiss 열상 중 위식도 접합부에서 위각부에 이르는 거대 위점막 파열에 대한 보고는 없었다. 이에 저자들은 식도 열공 탈장을 동반한 76세 여자에서 의식하 진정 내시경 시행 중 거대 위 점막 파열이 발생하였고 보존적 치료로 치유된 것을 경험하여 문헌 고찰과 함께 보고한다.

참고문헌 (Reference)

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