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KMID : 0359020090380030137
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Korean Journal of Gastrointestinal Endoscopy
2009 Volume.38 No. 3 p.137 ~ p.141
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A Gigantic Gastric Mucosal Rupture When Performing Endoscopy under
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Choi Pyoung-Rak
Park Seun-Ja
Moon Won
Park Chan-Bok
Park Eun-Ho
Lee Jee-Sook
Kim Kyu-Jong
Park Moo-In
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Abstract
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Mallory-Weiss syndrome is a tear in the gastro-esophageal junction or its adjacent mucosa, and this occurs due to ausea or vomiting that is caused by various etiologic factors. It may occur in patients with excessive retching and struggling when undergoing upper gastrointestinal endoscopy, and its underlying factors are esophageal hiatal hernia, atrophic gastritis and old age. There are currently only rare reports about gigantic gastric mucosal rupture during performance of upper gastrointestinal endoscopy in patients with esophageal hiatal hernia. We recently experienced a 76-year-old woman who developed a gigantic gastric mucosal rupture that ranged from the gastro-esophageal junction to the gastric angle. This occurred during performance of standard upper gastrointestinal endoscopy with the patient under sedation and the patient had a concurrent esophageal hiatal hernia. The patient was treated conservatively for the rupture. Herein we report on our case along with a review of the relevant literature.
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KEYWORD
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Mallory-Weiss syndrome, Hiatal hernia, Conscious sedation
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