Methylene Blue Solution-induced Acute Esophageal Mucosal Injury: First Case Report / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 161-164, 2011.
Artigo
em Coreano
| WPRIM
| ID: wpr-151930
ABSTRACT
Methylene blue (MB) based chromoendoscopy has been used for more than a decade to increase detection rates of specialized intestinal metaplasia, dysplasia, and esophageal adenocarcinoma. It is also used to detect anastomotic leakage after an operation. A 67-year-old man with no previous medical problems had complaints of jaundice and weight loss for 2 months. He was diagnosed with a Klatskin tumor and was referred to our hospital. An initial esophagogastroduodenoscopy (EGD) was performed before the operation. No abnormality was observed in the esophagus. MB solution was infused via an L-tube to check for leakage in the anastomosis. Subepithelial hemorrhagic and edematous mucosal changes with friability and a bluish mucosal discoloration were noted 2 days later from the mid to lower esophagus on EGD. Nine months later, an EGD revealed an unremarkable esophageal mucosa. MB solution is considered safe; however, a large volume or high concentration of MB solution might be harmful.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Adenocarcinoma
/
Redução de Peso
/
Endoscopia do Sistema Digestório
/
Tumor de Klatskin
/
Esôfago
/
Fístula Anastomótica
/
Icterícia
/
Metaplasia
/
Azul de Metileno
/
Mucosa
Limite:
Idoso
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
2011
Tipo de documento:
Artigo
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