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KMID : 0882420160900020127
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Korean Journal of Medicine
2016 Volume.90 No. 2 p.127 ~ p.131
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Acute Phlegmonous Gastritis Developing after Endoscopic Submucosal Dissection That Was Successfully Treated by Antibiotics Alone
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박유민:Park Yoo-Min
장재영:Jang Jae-Young/하효정:Ha Hyo-Jung/김다래:Kim Da-Rae/박선희:Park Sun-Hee/신아리:Shin A-Ri/구자원:Koo Ja-Won
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Abstract
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Endoscopic submucosal dissection (ESD) is widely used to treat a variety of gastric lesions including early gastric cancer and gastric adenoma. Bleeding and perforation are the most common complications of ESD. However, a rare and fatal bacterial stomach infection, termed acute phlegmonous gastritis, can also develop after ESD. We treated a patient with a high fever who complained of severe abdominal pain after ESD. Abdominal computed tomography (CT) revealed a diffuse, submucosal, minimally attenuated lesion and mucosal irregularity. The clincial presentation and the CT findings were compatible with acute phlegmonous gastritis and the patient was successfully treated with antibiotics alone. The case is worth reporting because acute phlegmonous gastritis is a very rare complication of ESD.
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KEYWORD
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Endoscopic submucosal dissection, Gastritis, Anti-bacterial agents
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