Spontaneous Submucosal Dissection of the Esophagus: A case report / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 202-210, 1998.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-152842
Biblioteca responsável:
WPRO
ABSTRACT
A 55-year-old male was admitted to our hospital complaining of chest discomfort, dysphagia and severe pain on swallowing. Esophageal manometry identified the lower esophageal sphincter as having no response to swallow. Barium swallow showed typical esophagograms of double barrelled esophagus or mucosal stripe. An endoscopic examination revealed an appearance as if an esophago-tracheal fistula had been made at the level of the upper thoracic esophagus. Also, two slitlike mucosal tears were seen on the lower esophagus. Subsequent fasting and total parenteral nutrition for several weeks failed to bring about any improvement in his symptoms. So, as a treatment, primary closure of the upper opening of the false channel was performed under general anesthesia. Soon after the surgical procedure, the patients symptoms disappeared except for mild dysphagia. He was discharged after oral intake had been judiciously commenced with fluids and soft diets. During his follow-up in the out-patient department, he was examined and found to have no specific symptoms including fever or dysphagia. Moreover, there was great improvement from the massive dissection of the esophagus on esophagogram.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pacientes Ambulatoriais
/
Tórax
/
Bário
/
Transtornos de Deglutição
/
Seguimentos
/
Jejum
/
Nutrição Parenteral Total
/
Deglutição
/
Esfíncter Esofágico Inferior
/
Dieta
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
1998
Tipo de documento:
Artigo