We observed the procedure of occurrence and healing of submucosal dissection of the esophagus with a giant gastric ulcer on the cardia with endoscopic and Roentogenogram examination. We reported 4cases adding other 3 cases which were treated in our department with some discussion based on literature.
A 64-year-old female visited our hospital complaining vomiting three times after meal, oppressive feeling at chest, and dysphagia, on Dec. 11.
Endoscopic examination at admission revealed hemorrhage and submucosal dissection of the esophagus from E-G junction up to middle portion. Acute gastric ulcer located on the cardia.
Submucosal dissection was seemed beginning to edge of the gastric ulcer.
We diagnosed submucosal dissection of the esophagus and started conservative treatment. Endoscopic examination at the 7th day of the treatment showed that submucosal dissection was in healing and that the gastric ulcer was into healing stage.
Submucosal dissection of the esophagus can be categorized into idiopathic and external case. In idiopathic cases, the increase of the pressure in esophagus by vomiting is considered as one of its causes.
The present case gave us the question to examine if submucosal dissection of the esophagus followed the gastric ulcer or if they occurred at the same time.
