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KMID : 0359019910110010077
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Korean Journal of Gastrointestinal Endoscopy
1991 Volume.11 No. 1 p.77 ~ p.80
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Dilatation of Severe Corrosive Esophageal Stricture Guided by Right Coronary Artery Catheter
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이상인/Lee SI
손승환/박인서/최흥재/Shn SH/Park IS/Choi HJ
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Abstract
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Nonoperative dilatation techniques such as bougination, balloon dilatation, endoscopic laser therapy, and endoscopic electro-coagulation, have been applied to relieve dysphagia due to esophageal strictures, but the most widly used ia peroral dilatation once a guide wire has been passed under direct vision using a fiberoptic endoscope. Some cases of severe and curved esophageal strictures coutd’nt be introduced the conventional steel guide wire. We desecibe a method of cannulation of these difficult strictures guided by torque control angiographic catheter with radiogrphic control. A case of 18 year old man with severe corrosive esophageal stricture ingested HCl was successfully treated with esophageal dilatation with Savary-Gilliard dilator guided by Judkin’s right coronary artery catheter.
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