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KMID : 0931320130130020119
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대한상부위장관.헬리코박터학회지
2013 Volume.13 No. 2 p.119 ~ p.123
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Penumomediastinum and Subcutaneous Emphysema Developed Following Gastric Endoscopic Submucosal Dissection: Two Cases
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Jang Hye-Won
Kim Beom-Hee
Kang Sun-Hyung
Moon Hee-Seok
Sung Jae-Kyu
Jeong Hyun-Yong
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Abstract
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Endoscopic submucosal dissection (ESD) is extensively used for the management of early gastric cancer. But many possible complications can occur. We report here two cases where subcutaneous empysema and pneumomediasinum occurred after ESD of early gastric cancers without perforation. The lesions were close to the esophagogastro-junction. The reason subcutaneous empysema and pneumomediasinum developed is lack of serosa of esophagus. Insufflated air may leak when the muscular layer is exposed during ESD. After intravenous antibiotics and total parenteral nutirition were administered, the patients improved without any other complications.
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KEYWORD
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Endoscopic submucosal dissection, Mediastinal emphysema, Subcutanous emphysema
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