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KMID : 0614620110580010038
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Korean Journal of Gastroenterology
2011 Volume.58 No. 1 p.38 ~ p.41
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A Case of Emphysematous Gastritis in a Patient with End-stage Renal Disease
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Ko Geun-Jun
Park Kyung-Suk
Park Tae-Woon
Woo Myoung-Lyeol
Han Ki-Jun
Lee Sang-Choel
Cho Jae-Hee
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Abstract
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Emphysematous gastritis is a rare infection of the stomach wall with high mortality rate. It is caused by gas forming organisms and may arise by local spread through the mucosa or hematogenous dissemination from distant focus. Clinical manifestation includes acute abdomen with systemic toxicity, and diagnosis is based on radiologic demonstration of gas within the gastric wall. Treatment should be aimed to cover gram-negative organisms and anaerobes using wide-spectrum intravenous antibiotics, and sometimes surgical management may be needed in order to enhance survival. Herein, we report a case of emphysematous gastritis in a patient with end stage renal disease on hemodialysis.
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KEYWORD
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Emphysematous gastritis, End-stage renal disease, Hemodialysis
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