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식도정맥류의 내시경적 결찰요법과 경화요법후 발생한 발열 및 균혈증
이성우(Seong Woo Lee),이동기(Dong Ki Lee),홍사준(Sa Jun Hong),이용규(Young Gyu Lee),백순구(Soon Gu Baek),권상옥(Sang Ok Kwon) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.5
N/A In a 5-month period, 102 consecutive unselected cases undergoing the therapeutic endosco- py for esophageal varices were evaluated prospectively to deterrnine the complication rate of fever and bacteremia after each treatment session(Endoscopic variceal ligation(EVL) 74, En- doscopic injection sclerotherapy(EIS) 28). The incidence of fever and bacteremia after EVL was 18.9%(14/74) and 8,1%(6/74), and after EIS 35.6%(10/28) and 10.3%(3/28) respectively. In our study, the incidence of fever and bacteremia after emergent or the first session of the procedures was relatively higher than that of elective or additional session of the proedures. The Childs classification of the underlying liver cirrhosis, type of varices, consum- ing time of the procedure, number of ligated bands and volume of injected sclerosing agent were not contributed to the incidence of fever and bacteremia after the procedure. These data indicate that fever and bacteremia can be complicated after EVL even the incidence is less than after EIS, and there was relatively kiigher incidence of fever and bacteremia in emergent or the first session of EVL. Therefore, we conclude that closed observation and proper antibi- otics should be required in case of fever after emergent or first session of EVL. (Korean J Gastroenterol 1994; 26: 771 776)
권상옥(Sang Ok Kwon),이동기(Dong Ki Lee),배선우(Sun Woo Bae),이성우(Sung Woo Lee),여경구(Kyong Gu Yoh),백순구(Soon Gu Baek) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.6
Emphysematous gastritis is an inflammatory process of the stomach caused by a gas-forming organism. It may therefore be classified as a form of Phlegmonous gastritis which represents a suppurative cellulitis of the stomach. A case of Emphysematous gastritis subsequent or accidental ingestion of Acetic acid is reported. It showed curvilinear extra-luminal gas shadow along the lesser curvature of gastric fundus and upper body on plain abdomina] X-ray. UGI study and abdominal C-T scan showed gas m the wall of stomach. The patient was rapidly deteriorated with downhill course and expired on 4th hospital day.