Endoscopic treatment in a case with extensive spontaneous intramural dissection of the oesophagus

Young Tae Bak, Oh Sang Kwon, Jong Eun Yeon, Jae Seon Kim, Kwan Soo Byun, Jin Ho Kim, Jong Guk Kim, Chang Hong Lee, Young Ho Choi, Dong Hoon Kang

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Spontaneous intramural dissection of the oesophagus has been recognized as a separate clinical entity between a transmural oesophageal rupture (Boerhaave syndrome) and an oesophageal mucosal tear (Mallory-Weiss syndrome). It is important to differentiate this condition from myocardiac infarction, dissecting aneurysm and other acute surgical conditions. Conservative management is usually thought to be adequate. We report a case of spontaneous intramural oesophageal dissection, in which the symptom of dysphagia did not improve with the conservative management and an endoscopic incision of the septum between true and false lumens using a needle-type diathermy knife was done safely and effectively.

Original languageEnglish
Pages (from-to)969-972
Number of pages4
JournalEuropean Journal of Gastroenterology and Hepatology
Volume10
Issue number11
DOIs
Publication statusPublished - 1998

Keywords

  • Diathermy knife
  • Double-barrelled oesophagus
  • Endoscopic treatment
  • Needle-type papillotome
  • Spontaneous intramural oesophageal dissection

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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