수술용 장갑을 사용하여 제거한 날카로운 식도 이물 1예
A Case of Removing an Esophageal Sharp Foreign Body Using a Surgical Glove
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초록
식도의 예리한 이물은 압박에 의해 합병증이 발생할 수 있지만, 내시경으로 제거하는 과정 중에도 출혈, 천공 등 심각한 합병증이 발생할 수 있다. 따라서 안전하게 제거하는 것이 필수적이며 이러한 방법으로 지금까지 overtube, protector hood 등이 사용되어 왔다. Press-through-pack (PTP)은 약 포장 재료로 흔히 사용되는 것으로 날카로운 모서리로 인해 제거에 세심한 주의가 필요하다. 저자들은 상부 식도에 걸린 PTP를 수술용 장갑을 사용하여 기존의 보고와는 다른 방식으로 안전하게 제거한 1예를 문헌 고찰과함께 보고한다.
Abstract
Foreign bodies with a sharp margin in the esophagus are often associated with serious complications, such as bleeding, perforation and mediastinitis in the middle of endoscopic removal, as well as impaction in the esophagus wall. Therefore, safe extraction for such patients is essential. The techniques that are performed with an endoscope have been designed with using a protector hood and overtube. Yet the former is not available in Korea, and the later is uncomfortable and limited in diameter. Press-through-packs (PTPs) are commonly used as a package for drugs and they also usually cause esophageal impaction because they have sharp edges. We report here on a case of an impacted PTP in the upper esophagus, and this was successfully extracted endoscopically with using a surgical glove, which is a better safe alternative to above mentioned removal items.
참고문헌 (12)
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