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고근준 ( Geun Jun Ko ),박경석 ( Koung Suk Park ),박태운 ( Tae Woon Park ),우명렬 ( Meung Yeul Woo ),한기준 ( Ki Jun Han ),이상철 ( Sang Cheul Lee ),조재희 ( Jae Hee Cho ) 대한소화기학회 2011 대한소화기학회지 Vol.58 No.1
Emphysematous gastritis is a rare infection of the stomach wall with high mortality rate. It is caused by gas forming organisms and may arise by local spread through the mucosa or hematogenous dissemination from distant focus. Clinical manifestation includes acute abdomen with systemic toxicity, and diagnosis is based on radiologic demonstration of gas within the gastric wall. Treatment should be aimed to cover gram-negative organisms and anaerobes using wide-spectrum intravenous antibiotics, and sometimes surgical management may be needed in order to enhance survival. Herein, we report a case of emphysematous gastritis in a patient with end stage renal disease on hemodialysis. (Korean J Gastroenterol 2011;58:38-41)