증례 : 흡인성 폐렴을 유발한 미만성 식도경련에 의한 거대 식도게실

서지정보

ㆍ발행기관 : 대한소화기기능성질환·운동학회(구 대한소화관운동학회) ㆍ수록지정보 : Journal of Neurogastroenterology and Motility / 10권 / 1호 / 76 ~ 80 페이지
ㆍ저자명 : 송호준 ( Ho June Song ) , 김나영 ( Na Young Kim ) , 황진혁 ( Jin Hyeok Hwang ) , 김진욱 ( Jin Wook Kim ) , 이동호 ( Dong Ho Lee ) , 김성은 ( Seong Eun Kim ) , 이혜승 ( Hye Seung Lee ) , 이창수 ( Chang Soo Lee ) , 정현채 ( Hyun Chae Jung ) , 송인성 ( In Sung Song )

영어 초록

Esophageal motility disorders have been considered to be important physiologic bases for the development of esophageal diverticulum, and to rarely cause severe complications. We report a case of aspiration pneumonia caused by esophageal diverticula in a patient with diffuse esophageal spasm (DES). A 44-year-old man suffered from cough due to aspiration pneumonia. He experienced intermittent vomiting for one year. Two years prior to admission, 2 large esophageal diverticula were first noticed in a single-contrast, upper gastro-intestinal tract examination, the size of which had increased one year later. Esophageal manometry and 24-hr esophageal pH monitoring were performed to investigate the underlying causes of aspiration pneumonia and he was diagnosed as DES. He underwent esophageal diverticulectomy and esophagomyotomy. Aspiration pneumonia, which had recurred even after operation, was controlled with percutaneous endoscopic gastrostomy. This case shows that serious pulmonary complications can develop in a ptient with esophageal diverticula related with DES. (Kor J Neur ogastr oenterol Motil 2004;10:76-80)

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