Korean J Helicobacter  Up Gastrointest Res Search


The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2010;10(1):37-40.
Published online July 10, 2010.
A Case of Supraglottic Injury Induced by Diagnostic Upper Gastrointestinal Endoscopy and Treated with Steroids
스테로이드로 치료한 진단적 상부위장관내시경검사 유발 성문상부 손상
중앙대학교 의과대학 이비인후-두경부외과학교실, 내과학교실*
Many patients experience pharyngolaryngeal complications such as minor sore throat or hoarseness after upper gastrointestinal (UGI) endoscopy. Most of these complications can be improve with conservative managements. Hospitalized case of supraglottic injury with dysphagia caused by upper G-I endoscopy have been not reported. We report a 59 year-old women with acute iatrogenic supraglottic injury with dysphagia after diagnostic UGI endoscopy that hospitalize her. She was admitted to our hospital with a 5-day history of dysphagia, poor oral intakes, sore throat, hoarseness and mild dyspnea. Her symptoms were immediately developed after diagnostic UGI endoscopy. Neck contrast-enhanced computed tomography scan and endoscopy showed diffuse thickened both aryepiglottic folds. 5 days treatment of intravenous hydration and antibiotics, proton pump inhibitor and analgegics did not improve her symptom and findings of supraglottic injury. Parenteral and oral steroid successfully reduce symptoms and endoscopic findings of this injury.
Key Words: Gastroscopy, Complications, Larynx, Dysphagia

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