이중 풍선 소장내시경으로 절제한 심한 중복대장의 측방 발육형 종양 1예 = A Case of Laterally Spreading Tumor Resected with Double Balloon Enteroscopy in a Severely Redundant Colon

다국어 초록 (Multilingual Abstract)

The incidence of colon cancer and cancer-related deaths has been increased in Korea. Because most colon cancers arise from colonic adenomatous polyps, it is important to detect these early and to resect such lesions, and so the incidence of endoscopic polypectomy has increased in Korea since 1970's. At present, conventional colonoscopy is the standard for evaluating the colon, and especially for the screening and treatment of colon tumor. However, the entire colon cannot be visualized during conventional colonoscopy in 5~15% of patients due to a redundant colon, an excessive loop or a history of abdominal surgery. To overcome these difficulties, many radiologic and endoscopic studies have been conducted and there are several recent reports that double balloon enteroscopy has been successfully used in cases of failed conventional colonoscopy. We report here on a case of laterally spreading tumor that was resected with double balloon enteroscopy in a severely redundant colon.

국문 초록 (Abstract)

대장내시경검사는 대장 선종에 대한 진단과 치료에 있어 표준이 되는 검사이나 중복대장, 과다한 고리형성, 심한 게실증, 이전 복부 수술 후 발생하는 협착 등으로 인하여 숙련된 시술자의 경우에도 5∼15%의 경우 전 대장의 관찰에 실패한다. 지금까지 이를 보완하기 위한 방사선 혹은 내시경 검사법과 새로운 장비들이 개발되어 왔다. 최근 대장내시경검사로 전 대장의 관찰에 실패한 환자에서 소장 질환의 진단과 치료에 사용되는 이중 풍선 소장내시경을 이용하여 성공적으로 전 대장을 관찰했다는 보고들이 있다. 저자들은 심한 중복대장으로 인해 대장내시경으로 맹장까지의 삽입에 실패한 환자에서 이중 풍선 소장내시경을 이용하여 간만곡부에 위치한 측방 발육형 종양을 내시경 점막절제술로 제거한 증례를 경험하여 보고한다.

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