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      Endoscopic Intraluminal Drainage: An Alternative Treatment for Phlegmonous Esophagitis

      case-report

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Phlegmonous esophagitis must be treated aggressively; therefore, appropriate antibiotic therapy and drainage are critical. Although a conventional surgical approach has been used previously, internal drainage could be another treatment option in light of advances in endoscopic techniques. We report 2 cases in which patients suffering from phlegmonous esophagitis were successfully treated with endoscopic intraluminal drainage and antibiotics.

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          Acute Diffuse Phlegmonous Esophagogastritis: A Case Report

          Hyoung Kim, Jung Hwang, Seong Hong … (2010)
          Acute phlegmonous infection of the gastrointestinal tract is characterized by purulent inflammation of the submucosa and muscular layer with sparing of the mucosa. The authors report a rare case of acute diffuse phlegmonous esophagogastritis, which was well diagnosed based on the typical chest computed tomographic (CT) findings and was successfully treated. A 48-yr-old man presented with left chest pain and dyspnea for three days. Chest radiograph on admission showed mediastinal widening and bilateral pleural effusion. The patient became febrile and the amount of left pleural effusion is increased on follow-up chest radiograph. Left closed thoracostomy was performed with pus drainage. A CT diagnosis of acute phlegmonous esophagogastritis was suggested and a surgery was decided due to worsening of clinical condition of the patient and radiologic findings. Esophageal myotomies were performed and the submucosal layer was filled with thick, cheesy materials. The patient was successfully discharged with no postoperative complication.
          Article 0 comments Cited 11 times – based on 0 reviews     Review now
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            Phlegmonous gastritis: successful treatment with antibiotics and resolution documented by EUS.

            D C Hu, K McGrath, P S Jowell … (2000)
            Article 0 comments Cited 10 times – based on 0 reviews     Review now
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              Phlegmonous Esophagitis Treated with Internal Drainage and Feeding Jejunostomy

              Won Woo, Young Woo Do, Geun Lee … (2017)
              We report the case of a 67-year-old woman presenting with epigastric pain. Computed tomography identified diffuse phlegmonous esophagitis. Esophagogastroduodenoscopy revealed multiple perforations in the mucosal layer of the esophagus. A large amount of pus was drained internally through the gut. The patient was treated with antibiotics and early jejunostomy feeding. Although phlegmonous esophagitis is a potentially fatal disease, the patient was successfully treated medically with only a minor complication (esophageal stricture).
              Article 0 comments Cited 5 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Korean J Thorac Cardiovasc Surg
                Journal ID (iso-abbrev): Korean J Thorac Cardiovasc Surg
                Title: The Korean Journal of Thoracic and Cardiovascular Surgery
                Publisher: The Korean Society for Thoracic and Cardiovascular Surgery
                ISSN (Print): 2233-601X
                ISSN (Electronic): 2093-6516
                Publication date (Print): June 2019
                Publication date (Electronic): 05 June 2019
                Volume: 52
                Issue: 3
                Pages: 165-169
                Affiliations
                [1 ]Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
                [2 ]Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
                Author notes
                Corresponding author: Hyo Yeong Ahn, Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea, (Tel) 82-51-240-7267, (Fax) 82-51-243-9389, (E-mail) doctorahn02@ 123456hanmail.net
                Author information
                https://orcid.org/0000-0001-5782-4834
                https://orcid.org/0000-0003-3198-8237
                https://orcid.org/0000-0001-9721-5734
                https://orcid.org/0000-0001-7135-4648
                https://orcid.org/0000-0001-8930-8148
                https://orcid.org/0000-0002-7422-6171
                Article
                Publisher ID: kjtcv-52-165
                DOI: 10.5090/kjtcs.2019.52.3.165
                PMC ID: 6559182
                PubMed ID: 31236377
                SO-VID: 42eb3749-36d7-4468-89e7-cbe4063c2b28
                Copyright © Copyright © 2019 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved.
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 15 October 2018
                Date revision received : 28 November 2018
                Date accepted : 06 December 2018
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Surgery
                Keywords: phlegmonous esophagitis,endoscopic drainage,esophagitis,endoscopy
                Data availability:
                ScienceOpen disciplines: Surgery
                Keywords: phlegmonous esophagitis, endoscopic drainage, esophagitis, endoscopy

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