위 내시경 점막하 박리술 후 발생한 기흉 1예
A Case of Pneumothorax Following Gastric Endoscopic Submucosal Dissection
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초록
위장관 종양의 ESD는 상대적으로 안전한 시술이지만 다양한 합병증이 보고되고 있다. 그 중에서 위 ESD 후 발생한기흉은 아주 드문 합병증으로 저자들은 위 ESD 후 기흉, 공기복막증 및 공기후복막증이 발생한 환자에서 내시경 클리핑과 흉관삽관을 포함한 보존적 치료로 호전이 있었던 증례를 문헌고찰과 함께 보고한다.
Abstract
Endoscopic submucosal dissection (ESD) is widely accepted as an alternative treatment to surgical resection for gastric neoplasticlesions. Among the complications of gastric ESD, perforation is usually manifested as a pneumoperitoneum. Here, we reporta patient with a right-sided pneumothorax, pneumoperitoneum, and pneumoretroperitoneum as complications of gastric ESD. Thepatient recovered without further complications using conservative treatment, including endoscopic clipping, nasogastric drainage,and insertion of a chest tube.
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