Early endoscopic treatment of intramural hematoma of the esophagus

Sudhamshu, K C; Kouzu, Teruo; Matsutani, Shoichi; Hishikawa, Etsuo; Saisho, Hiromitsu

doi:10.1067/mge.2003.356

Cited by 17 publications

(11 citation statements)

References 15 publications

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“…patient was able to resume eating sooner than might have been predicted based on prior reports [7][8][9][10][11] . Following conservative therapy, symptoms usually begin to resolve 36-72 h after treatment and disappear completely in 2-3 wk [8] .…”

Section: Figure 4 Endoscopic Images After Endoscopic Therapymentioning

confidence: 64%

“…Following conservative therapy, symptoms usually begin to resolve 36-72 h after treatment and disappear completely in 2-3 wk [8] . The start of oral intake was sooner than previous cases [9][10][11] . It was possible for our patient to resume oral intake three days after the endoscopic incision, although it took approximately one week with conservative therapy in other studies [7,8] .…”

Section: Figure 4 Endoscopic Images After Endoscopic Therapymentioning

confidence: 80%

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Endoscopic therapy for esophageal hematoma with blue rubber bleb nevus syndrome

Takasumi¹,

Hikichi²,

Takagi³

et al. 2014

WJGE

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Section: Figure 4 Endoscopic Images After Endoscopic Therapymentioning

confidence: 64%

Section: Figure 4 Endoscopic Images After Endoscopic Therapymentioning

confidence: 80%

Endoscopic therapy for esophageal hematoma with blue rubber bleb nevus syndrome

Takasumi¹,

Hikichi²,

Takagi³

et al. 2014

WJGE

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“…Surgical intervention usually is required only to control bleeding 19. Sudhamshu et al20 reported a case of hematoma happened to be incised for biopsy, which resulted in rapid decompression. Cho et al12 performed an endoscopic incision of the hematoma, in which case the lesion did not resolve spontaneously.…”

Section: Discussionmentioning

confidence: 99%

“…However, Yang et al18 reported that IHE was exacerbated after endoscopic band ligation. Thus, only rare cases require endoscopic therapy after the failure of conservative treatment, such as in patients with potential airway obstruction, or those with persistent or worsening symptoms 12,20…”

Section: Discussionmentioning

confidence: 99%

Intramural Hematoma of the Esophagus after Endoscopic Pinch Biopsy

et al. 2012

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Intramural hematoma of the esophagus (IHE) is an uncommon form of esophageal injury, which may be an intermediate of mucosal tear (Mallory-Weiss syndrome) or transmural rupture (Boerhaave's syndrome). To date, the pathogenesis of IHE has not been well documented. IHE may occur within the submucosal layer of the esophagus following dissection of the mucosa. The most commonly presented symptoms are sudden retrosternal pain, dysphagia and hematemesis. The disorder can occur spontaneously or secondarily to trauma. In this report, we present a case of IHE which occurred after endoscopic biopsy and was recovered following conservative management in a patient who was taking long-term aspirin medication.

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“…Etiologies include spontaneous submucosal hemorrhage [8] as well as complications from recurrent emesis, procedures, or anticoagulation. The hematoma involves dissection of the mucosa from the muscular layers, but the exact pathogenesis has not been elucidated [9].…”

Section: Discussionmentioning

confidence: 99%