由于部扩散性异常性骨超静止症 (Forestier病) 而导致的重复性严重吸收的失消症 (dysphagia)
Seyed Alireza Shahvaran1,2, Martin Kliment1, Stefan Prax1
1Department of Gastroenterology and Infectiology, Helios Kliniken Schwerin, University Campus of Medical School Hamburg, Schwerin, Germany.
概括
扩散性异常性骨高静止症 (Forestier病) 可以通过压缩食道引起食不通. 通过手术切除椎脊柱高静止症,在以前未经标准内镜方法诊断的患者中缓解了吞困难.
科学领域:
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 整形外科手术 整形外科手术
背景情况:
- 缺食是常见的投诉,通常通过内镜进行评估.
- 消化道的外压缩可能会导致消化不良,但可能会被内的评估所忽视.
- 扩散性异常性骨增强症 (Forestier病) 是一种由脊柱沿线的骨过度生长而形成的疾病.
研究的目的:
- 报告因扩散性异常性骨超静止症引起的外压缩引起的消化不良病例.
- 突出诊断挑战和成功的手术管理这一罕见的吞困难的原因.
主要方法:
- 一名72岁的男性患者患有渐进的消化不良和吸血,接受了标准的食管胃管透镜和吞,这些都是正常的.
- 常规的X射线和部CT扫描检测出前椎脊柱高静止 (C2-C7).
- 用纤维内镜评估吞 (FEES) 和EAT-10得分来评估吞功能.
主要成果:
- 图像检测显示,前椎骨的扩散性异常性骨超静止症.
- 费用表明在吞时口腔空虚不完全,EAT-10得分为23.
- 切除C3-C6高静止症的手术切除导致失消症的立即和持续改善.
结论:
- 宫脊椎的扩散性异常性骨高静止症是缺食症的一个未被认可的外原因.
- 先进的成像和功能性吞评估对于诊断这种病例至关重要.
- 手术干预可以有效地解决腹障碍二次性宫脊椎高静止.
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