A CASE OF ESOPHAGEAL MUCOSAL DENUDATION IN PATIENT RECIEVING HEMODIALYSIS

概要

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A case of esophageal mucosal denudation was reported.A 40-year-old male receiving hemodialysis for two years underwent endoscopic examination because of nausea and anemia. At the first examination, hematoma was observed in the middle portion of the esophagus. At the second examination four hours later, hematoma spread from the middle to the lower esophagus. When the endoscope was withdrawn, he vomited a small amount of blood. At the third examination on the next day, a longitudinal ulcer was observed on the area of the hematoma. Anti-ulcer drugs were administered and the ulcer healed four weeks later. Thereafter, his clinical course was uneventful without any stenotic symptoms. The esophageal mucosal denudation is very rare, and only 9 cases have been reported in Japan. The mechanical stimuli soch as snlid foods or the management of endoscope may cause this disease. In this case a bleeding tendency may have contributed to the onset of the disease. The all reported cases healed conservatively in about four weeks. At the time of endoscopic examination, we have to keep this, disease in mind.
社団法人日本消化器内視鏡学会の論文