Volume 10, Issue 2 pp. 154-157

A Case of Kissing Esophageal Ulcers of Unknown Etiology

Ubehiko HONMYO

Corresponding Author

Ubehiko HONMYO

Second Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan

Address for reprint requests: Ubehiko HONMYO, Department of Surgery II, Kumamoto University School of Medicine, 1-1-1 Honjo, Kumamoto 860–8556, Japan.Search for more papers by this author
Shinya SHIMADA

Shinya SHIMADA

Second Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan

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Akitoshi MURAKAMI

Akitoshi MURAKAMI

Second Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan

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Seiichi MIZUMOTO

Seiichi MIZUMOTO

Second Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan

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Ichiro YOSHINAKA

Ichiro YOSHINAKA

Second Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan

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Masaomi MAEDA

Masaomi MAEDA

Second Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan

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Sin-ichi YAMAMOTO

Sin-ichi YAMAMOTO

Second Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan

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Atsunobu MISUMI

Atsunobu MISUMI

Second Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan

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Hironori OYAMA

Hironori OYAMA

Oyama Clinic, Kumamoto, Japan

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First published: 21 December 2007

Abstract

Abstract: A 41-year-old man with esophageal ulcers of unknown etiology is reported. Endoscopic examination was performed for evaluation of swallowing difficulty. The lesions were located in the middle portion of the esophagus. There were no findings correlating with either peptic ulcer or reflux esophagitis. In addition, he had no history of provoking factors, such as bacterial, chemical, traumatic or physical agents. Although the cause of these lesions was not clarified, we diagnosed acute benign ulcers following histological examination of the biopsy specimens. The patient was treated with a proton pump inhibitor and sodium alginate. The dysphagia and other symptoms subsided promptly, and the lesions healed completely within three weeks. We discuss herein the relationship between endoscopic findings and the etiology of kissing ulcer.

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