意外 な 発作 の 背後 に ある 希少 で 驚く 原因
Vishal Mavuri1, Jay Chudasama2, Sanjay Jagdish Chandnani3
1Senior Resident, Department of Gastroenterology, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai, Maharashtra, India, Corresponding Author, Orcid: https://orcid.org/0009-0008-9757-2238.
The Journal of the Association of Physicians of India
|August 21, 2025
まとめ
胃食道の問題によって引き起こされる絶え間ないヒックが,遠隔食道 (DES) を示すことはめったにありません. 主な症状としてヒックを持つ患者がDESと診断され,口腔内視鏡で成功裏に治療されました.
科学分野:
- 胃腸内科
- 神経科学
背景:
- 持続的なヒック (48時間以上続く) は,通常,評価を必要とする基礎的な有機的原因を示します.
- 常見の原因には,エアロファギア,胃潰瘍,食道炎,胃炎,および炎などの胃食道疾患があります.
研究 の 目的:
- 主に絶え間ないヒックを伴う遠隔食道 (DES) の珍しい症例を報告する.
- 診断の難しさと 治療の成功を強調するためです
主な方法:
- 患者さんの報告です 絶え間ないヒックです
- 初期診断では胃食道逆流症 (GERD) と考えられていた.
- 経口内視鏡筋切除 (POEM) による治療が行われました.
主要な成果:
- 患者さんの主な苦情は 絶え間ないヒックでした
- ディスタル食道 (DES) が根本的な原因として特定されました.
- 口腔内視鏡筋切除 (POEM) の後,ヒックが完全に解消した.
結論:
- ディスタル食道 (DES) は,絶え間ないヒックの原因である.
- このケースは 持続的なヒックに起因する 原因を考慮する重要性を強調しています
- 口腔内視鏡筋切除 (POEM) は,ヒックを伴うDESの効果的な治療法です.
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