내시경 점막하 박리술 시행 후 발생한 급성 봉소염성 위염을 항생제로 치료한 1예
Acute Phlegmonous Gastritis Developing after Endoscopic Submucosal Dissection That Was Successfully Treated by Antibiotics Alone
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초록
내시경 점막하 박리술(endoscopic submucosal dissection)은 림프절 전이가 없는 조기 위장관암의 기본 치료로 널리 받아들여지고 있다[1]. 발생할 수 있는 합병증으로는 출혈, 천공, 협착, 흡인성 폐렴, 정맥혈전색전증, 공기색전증 등이 보고되고 있으나 대개 내시경적 치료나 보존적 치료로 호전을 보인다[1].
Abstract
Endoscopic submucosal dissection (ESD) is widely used to treat a variety of gastric lesions including early gastric cancer and gastric adenoma. Bleeding and perforation are the most common complications of ESD. However, a rare and fatal bacterial stomach infection, termed acute phlegmonous gastritis, can also develop after ESD. We treated a patient with a high fever who complained of severe abdominal pain after ESD. Abdominal computed tomography (CT) revealed a diffuse, submucosal, minimally attenuated lesion and mucosal irregularity. The clincial presentation and the CT findings were compatible with acute phlegmonous gastritis and the patient was successfully treated with antibiotics alone. The case is worth reporting because acute phlegmonous gastritis is a very rare complication of ESD.
참고문헌 (10)
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