A Case of Esophageal Submucosal Dissection that Developed after Endoscopic Biopsy / 대한내과학회지
Korean Journal of Medicine
;
: 759-763, 2011.
Article
in Korean
| WPRIM
| ID: wpr-143836
ABSTRACT
The incidence of gastrointestinal complications has increased as endoscopic biopsy has become a standard diagnostic technique. However, esophageal dissection is a rare complication. A 71-year-old man suffered retrosternal pain for 15 days. Fifteen days previously, he had undergone an endoscopic gastrointestinal examination at a local clinic and an esophageal biopsy to obtain microscopic confirmation of esophageal candidiasis. The patient then underwent a subsequent endoscopic examination, which showed features specific to esophageal submucosal dissection. The predisposing conditions for esophageal dissection are coagulopathy, iatrogenic trauma (variceal sclerotherapy), drugs (thrombolytic agents, aspirin), foreign bodies/certain foods (fish, chicken bones), and emesis. However, endoscopic biopsy is a rare predisposing condition. Here, we report a case of esophageal submucosal dissection that developed after esophageal biopsy. We observed the healing process of this lesion with a series of endoscopies as part of a conservative treatment plan.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Vomiting
/
Biopsy
/
Candidiasis
/
Chickens
/
Incidence
/
Endoscopy
/
Esophageal Diseases
Type of study:
Incidence study
/
Prognostic study
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2011
Type:
Article
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