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선희식(Hee Sik Sun),김부성(Boo Sung Kim),정인식(In Sik Chung),이영석(Young Dok Lee),최명규(Myung Gyu Choi),한석원(Sok Won Han),양일권(Il Kwon Yang),곽문섭(Moon Sup Kwak),이홍균(Hong Kyun Lee) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.4
Non-malignant esophagorespiratory fistula is uncommon in adults. Among them, tuberculosis is the leading etiologic agent while traurnatic cases are increasing. Other less common causes are syphilis, fungal infection and esophageal diverticulum. We present a case of non-malignant esophagobronchial fistula through mid-esophageal diverticulum found in 50 year-old man who complained of chronic coughing, right lower chest pain and frequent episodes of paroxysmal coughing and choking sensation after food intake. Esophagography, fiberoptic esophagoscopy and bronchoscopy could visualise the fistulous tract through the mid-esophageal diverticulum. After surgical repair including fistulectomy, diverticulectomy with esophageal repair, and segmental lobectomy, he became well.
선희식(Hee Sik Sun),김부성(Boo Sung Kim),이창돈(Chang Don Lee),김인식(In Sik Kim),민창기(Chang Gi Min),최정현(Jung Hyun Choi),서정민(Chong Min Seo),정인식(In Shik Chung) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.2
Mucosal bridge, endoscopically observed, is a cord-like mucosal connection across the lumen, looking very much like a bridge. Mucosal bridges have been infrequently reported in the esophagus, stomach and colon. Recently we experienced a 41-year-old male patient who had multiple esophageal mucosal bridges with duodenal ulcer. We report this case with a review of relevant literatures.
선희식(Hee Sik Sun),정인식(In Sik Chung),한석원(Suk Won Han),안병민(Byung Min Ahn),김재광(Jae Kwang Kim),최성호(Sung Ho choi),심규식(Gyu Sik Shin),백남종(Nam Jong Baek),지영희(Young Hee Jee),장은덕(Eun Duk Chang) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.3
Anisakis is generally considered to be a parasite of marine mammals and not normally found in man. It is possible for Anisakis larva to be transmitted to man through eating raw sea fish which is preferred by Korean people. The clinical symptoms are characterized by severe cramping abdominal pain, nausea, and vomiting. Recently we experienced 5 cases of acute gastric anisakiasis and all patients had a history of ingestion of raw sea fish and suffered from acute severe epigastric pain, nausea and vomiting. Early gastrofiberscopy was performed in all patients. After detection of the larva of Anisakis on gastric mucosa, endoscopic extraction of the larva by biopsy forcep was successfully carried out in all patients. Clinical symptoms were immediately improved after the removal of larva. We believe that it is very important to perform endoscopic examination and extraction of the larva at the earliest possible opportunity. It is emphasized that endoscopic extraction of the larva is the most effective procedure in dealing with acute gastric anisakiasis.