[一位非高龄老人发生 II 型食道闭锁并被诊断为急性食物嵌塞的病例]。

Seong Hyun Koh, Moo In Park, Woo Hyuk Jung, Kyoungwon Jung, Sung Eun Kim, Won Moon, Seun Ja Park
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引用次数: 0

摘要

贲门失弛缓症是一种食管运动障碍,其特征是食管蠕动减弱和食管下括约肌松弛功能受损。贲门失弛缓症患者在确诊前通常会主诉持续数年的症状。另一方面,因突发食管食物嵌塞而被诊断为贲门失弛缓症的病例并不多见,也没有关于 95 岁患者贲门失弛缓症的诊断和成功治疗的报道。我们报告了一例因突发食管食物嵌塞而到医院就诊的 95 岁女性患者,在通过内镜清除食物物质后,通过高分辨率食管测压和定时食管钡餐造影诊断出贲门失弛缓症,并通过内镜下球囊扩张术成功治疗。
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[A Case of Type II Achalasia Occurring in a Nonagenarian Diagnosed with Acute Food Impaction].

Achalasia is an esophageal motility disorder characterized by loss of esophageal peristalsis and impaired relaxation of the lower esophageal sphincter. Patients with achalasia often complain of persistent symptoms for several years before diagnosis. On the other hand, achalasia diagnosed as a sudden esophageal food impaction is uncommon, and no report has been issued on the diagnosis and successful treatment of achalasia in a 95-year-old patient. We report a case of achalasia diagnosed by high-resolution esophageal manometry and timed barium esophagography after food material removal by endoscopy in a 95-year-old woman who visited the hospital due to sudden esophageal food impaction and was successfully treated by endoscopic balloon dilatation.

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