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KMID : 0374920140350010099
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Inje Medical Journal
2014 Volume.35 No. 1 p.99 ~ p.105
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A Case of Esophagomediastinal Fistula Treated with Antituberculosis Medication and Percutaneous Endoscopic Gastrostomy
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Shin Jung-A
Lee Yoo-Jin
Kim Nam-Hoon
Kim Jong-Wook
Bae Won-Ki
Kim Kyung-Ah
Lee June-Sung
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Abstract
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Tuberculosis related esophagomediastinal fistula is rare complication. In a prior study, this condition was improved only by several weeks of antituberculosis medication with non per os(NPO). One rare case of tuberculous esophagomediastinal fistula in a 22-year old man is reported here. He had esophagogastroduodenal endoscopy and diagnosed esophagomediastinal fistula. He was treated with antituberculosis medication and total parenteral nutrition but 4 weeks later the fistula was not closure. In order to avoid surgical procedure we performed percutaneous endoscopic gastrostomy (PEG) and maintain antituberculosis medication and enteral nutrition. 2 months later, the fistula was successfully treated and percutaneous endoscopic gastrostomy (PEG) was removed.
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KEYWORD
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Esophagomediastinal fistula, Percutaneous endoscopic gastrostomy, Tuberculous
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