A Case of Esophageal Submucosal Dissection that Developed during Conscious Sedation Endoscopy.
- Author:
Hong Jun YOU
1
;
Moo In PARK
;
Kyu Jong KIM
;
Won MOON
;
Sun Jung KIM
;
Sung Woo YANG
;
Se Young PARK
;
Woo Seong JEON
;
Dong Yang PARK
;
Jun Young SONG
;
Seun Ja PARK
Author Information
1. Department of Gastroenterology, College of Medicine, Kosin University, Busan, Korea. mipark@ns.kosinmed.or.kr
- Publication Type:Case Report
- Keywords:
Esophageal submucosal dissection;
Conscious sedation endoscopy
- MeSH:
Conscious Sedation*;
Endoscopy*;
Esophagus;
Foreign Bodies;
Hemorrhage;
Lacerations;
Mucous Membrane
- From:Korean Journal of Gastrointestinal Endoscopy
2007;35(5):328-331
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Esophageal submucosal dissection is a rare condition, resulting in the separation of the submucosa and muscle layer by mucosal laceration and bleeding. Possible causes are external trauma, foreign body entrapment, endoscopic instrumentation and even spontaneous dissection. Typical endoscopic findings show a false lumen from the torn mucosa and a muscle layer in the false lumen. Esophagography shows a "double barrelled" appearance. A dissection can be resolved with conservative management. We experienced a case of a submucosal dissection of the esophagus with perforation, an unusual complication of conscious sedation endoscopy.