title: Endoscopic treatment in a case with extensive spontaneous intramural dissection of the oesophagus.
abstract: Spontaneous intramural dissection of the oesophagus has been recognized as a separate clinical entity between a transmural oesophageal rupture (Boerhaave syndrome) and an oesophageal mucosal tear (Mallory-Weiss syndrome). It is important to differentiate this condition from myocardiac infarction, dissecting aneurysm and other acute surgical conditions. Conservative management is usually thought to be adequate. We report a case of spontaneous intramural oesophageal dissection, in which the symptom of dysphagia did not improve with the conservative management and an endoscopic incision of the septum between true and false lumens using a needle-type diathermy knife was done safely and effectively.
authors.affiliation: Department of Internal Medicine, Korea University College of Medicine, Seoul. drbakyt@kuccnx.korea.ac.kr
authors.forename: Y T
authors.initials: YT
authors.lastname: Bak
authors.forename: O S
authors.initials: OS
authors.lastname: Kwon
authors.forename: J E
authors.initials: JE
authors.lastname: Yeon
authors.forename: J S
authors.initials: JS
authors.lastname: Kim
authors.forename: K S
authors.initials: KS
authors.lastname: Byun
authors.forename: J H
authors.initials: JH
authors.lastname: Kim
authors.forename: J G
authors.initials: JG
authors.lastname: Kim
authors.forename: C H
authors.initials: CH
authors.lastname: Lee
authors.forename: Y H
authors.initials: YH
authors.lastname: Choi
authors.forename: D H
authors.initials: DH
authors.lastname: Kang
mesh_terms: D004724:Endoscopy; D004935:Esophageal Diseases / Q000601:surgery*; D004939:Esophageal Perforation / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012422:Rupture, Spontaneous