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십이지장경 삽입 중 발생한 식도점막 열상으로 인해 진단된 동시성식도암과 위암Synchronous Esophageal and Gastric Cancer Detected by Iatrogenic Esophageal Mucosal Injury Incurred During Endoscopic Retrograde Cholangiopancreatography

Other Titles
Synchronous Esophageal and Gastric Cancer Detected by Iatrogenic Esophageal Mucosal Injury Incurred During Endoscopic Retrograde Cholangiopancreatography
Authors
김동우현종진이종진최정완강규호황수현김대하
Issue Date
2018
Publisher
대한췌장담도학회
Keywords
내시경적 역행성 담췌관 조영술; 식도암; 위암; 점막 열상; Cholangiopancreatography; Endoscopic retrograde; Esophageal neoplasms; Stomach neoplasms; Mucosal tear
Citation
대한췌담도학회지, v.23, no.2, pp.76 - 81
Indexed
KCI
OTHER
Journal Title
대한췌담도학회지
Volume
23
Number
2
Start Page
76
End Page
81
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/4083
ISSN
1976-3573
Abstract
Esophageal mucosal tear occurred during scope insertion in a 71-year-old male patient who previously underwent endoscopic retrograde cholangiopancreatography (ERCP) several times without any complications. The mucosal tear was successfully sealed with endoclips using a forward-viewing scope. However, this mishap leads to the incidental discovery of both esophageal cancer and early gastric cancer. Duodenoscope has inherent limitation in observing the gastrointestinal tract, especially the esophagus, and may miss clinically significant lesions. Therefore, in addition to applying sufficient lubricant to the scope tip and considering the possibility of anatomical variation to prevent mucosal injury or perforation, performing upper endoscopy during ERCP should be considered in a certain patient population, albeit the utility of and the population benefiting from it remains to be proven by a large-scale study.
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Hyun, Jong Jin
Ansan Hospital (Department of Gastroenterology and Hepatology, Ansan Hospital)
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