The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Large Symmetrical Esophageal Ulcer Caused by Thermal and Compressive Injury from a Solid Foodstuff Known as 'Song-Pyen'

송편에 의해 유발된 크고 넓은 대칭적 식도궤양 1예

  • Kim, Goeng-Bae (Department of Internal Medicine, Sun General Hospital) ;
  • Jeong, Jae-Jin (Department of Internal Medicine, Sun General Hospital) ;
  • Park, Sul (Department of Internal Medicine, Sun General Hospital) ;
  • Ko, Jae-Ee (Department of Internal Medicine, Sun General Hospital) ;
  • Ko, Sang-Hoon (Department of Internal Medicine, Sun General Hospital) ;
  • Kang, Hyoun-Mo (Department of Internal Medicine, Sun General Hospital) ;
  • Lee, Gye-Sung (Department of Internal Medicine, Sun General Hospital)
  • 김굉배 (대전선병원 내과학교실) ;
  • 정재진 (대전선병원 내과학교실) ;
  • 박설 (대전선병원 내과학교실) ;
  • 고재이 (대전선병원 내과학교실) ;
  • 고상훈 (대전선병원 내과학교실) ;
  • 강현모 (대전선병원 내과학교실) ;
  • 이계성 (대전선병원 내과학교실)
  • Published : 2012.05.01
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Abstract

There are many possible causes of esophageal ulcer, such as reflux esophagitis, pill-induced esophagitis, infectious esophagitis, tuberculosis, syphilis, Behcet's disease, radiation injury, caustic injury, foreign body-induced injury, esophageal cancer, and so on. However, there are only a few cases of esophageal ulcer by thermal injury from food, and most of these were caused by liquids; few are related to ingestion of solid food. We experienced a case of a large symmetrical esophageal ulcer caused by thermal and compressive injury from a hot solid foodstuff known as 'Song-pyen', a traditional Korean food, and report the natural course of healing by conservative treatment, with a review of the few available reports regarding such injuries.

식도궤양의 원인으로서 여러 가지 원인이 있을 수 있으나, 뜨거운 음식물에 의해 발생된 경우는 드물다. 국내외에 발표된 증례로 볼 때, 음식물에 의한 식도궤양의 경우 대부분이 뜨거운 유동식에 의한 경우였으며 고형식에 의한 경우는 거의 보고된 적이 없었다. 저자들은 갓 만들어진 송편에 의해 발생된 식도하부의 크고 넓은 대칭적 지도상 궤양을 발견하여 약물요법을 포함한 적절한 내과적 치료를 한 후 호전된 1예를 경험하였다. 뜨거운 송편을 삼킨 후, 비록 즉각적인 증상이 유발되진 않았으나, 시간에 따른 점진적 열손상 및 압박 손상에 의해 식도궤양이 유발되었기에 고형식에 의한 식도 궤양과 관련하여 국내외 증례 및 관련 문헌고찰과 함께 보고하는 바이다.

Keywords

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