消化道炎性肌纤维细胞瘤的管理与内镜下粘膜解剖
Kais Zakharia1,2, Venkata Muddana1,3
1GI Associates LLC, St. Luke's Medical Center, Milwaukee, WI.
ACG case reports journal
|August 23, 2024
概括
炎症性肌纤维细胞瘤是罕见的,但可以发生在食道. 这项研究详细介绍了第一个成功的内镜下膜剖析对于食道炎症肌纤维细胞瘤.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 病理学 病理学 病理学
背景情况:
- 炎症性肌纤维细胞瘤 (IMTs) 是一种罕见的新生体,在各种器官中呈现不同的表现.
- 食道IMT异常罕见,从历史上看,手术切除是主要的治疗方法.
- 对于食道IMT存在有限的治疗选择,需要探索最少侵入性的方法.
研究的目的:
- 报告一种食道炎性肌纤维细胞瘤的新病例.
- 为了证明内镜下粘膜切割 (ESD) 的可行性和成功性,以管理食道IMTs.
- 突出ESD作为选择食道IMT的传统手术的潜在替代方案.
主要方法:
- 一个患有食道质量的病例被诊断为炎症性肌纤维细胞瘤.
- 瘤完全被切除,使用内镜下膜剖析 (ESD) 技术.
- 进行了手术后的后续检查,以评估结果并确保不会再次发生.
主要成果:
- 内镜下粘膜切割成功实现了完全切除瘤,并有明显的边缘.
- 患者经历了有利的结果,在手术后没有直接的并发症.
- 组织病理学检查证实了炎症性肌纤维细胞瘤的诊断.
结论:
- 内镜下膜剖析代表了食道炎症肌纤维细胞瘤的新且有效的微创治疗方法.
- 这种技术为手术切除提供了可行的替代方案,有可能减少患者的发病率.
- 需要进一步的研究和案例研究来确定ESD作为食道IMT的标准治疗方法.
相关概念视频
Barrett Esophagus-II: Clinical Manifestations and Management
127
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
127
Esophageal Strictures-II: Clinical Features and Management
57
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
57
Gastroesophageal Reflux Disease II: Clinical Features and Management
62
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
62
Endoscopic Procedures I: Esophagogastroduodenoscopy
79
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
79
Esophageal Strictures-I: Introduction
70
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
70
Esophageal Perforation-II: Clinical Manifestations and Management
53
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
53


