KMID : 0359020080360060366
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Korean Journal of Gastrointestinal Endoscopy 2008 Volume.36 No. 6 p.366 ~ p.370
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A Case of Esophageal Perforation Cured by Conservative Management after Stent Insertion
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Jang Yong-Seok
Cho Kwang-Bum Shin Yo-Sig Lee Seung-Hyun Jang Byoung-Kuk Chung Woo-Jin Park Kyung-Sik Hwang Jae-Seok
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Abstract
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Esophageal cancer may induce progressive dysphagia. Insertion of a self-expandable metallic stent is widely used to relieve dysphagia. There are previous case reports that have described the use of membrane-covered stents to seal esophageal perforations. Complications of the use of an esophageal stent include bleeding, fistula formation, perforation,
pain, tumor ingrowth and migration of the stent. A perforation may occur during or after the insertion of a stent from a contact ulcer due to the sharp ends of the metallic stents. We report a case of esophageal perforation after the insertion of a membrane-covered esophageal stent, which showed perforation at the middle portion of stent due to expansion of the stent. The perforation was sealed without surgical treatment or additional stent insertion. (Korean J Gastrointest Endosc 2008;36:366-370)
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KEYWORD
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Esophagus, Stent, Perforation
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