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术后食道分泌管 - - 一个独特的实体,模仿阿哈拉西亚复发
Gad Marom1,2, Ronit Brodie1, Ram Elazary1,2
1Department of General Surgery, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
概括
经性分泌管可以在秋肌切除术后引起食障碍,即使进行了完整的手术. 手术切除分隔膜有效地解决了患者的症状,为肌肉切除术后的挑战提供了新的视角.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 食道运动障碍 食道运动障碍
背景情况:
- 在阿卡拉西亚骨髓切除术后,缺食症复发会带来诊断挑战.
- 肌肉切除术后的食道分泌器,通常与不完整的肌肉切除术有关,会导致食不通.
- 在成功的肌肉切除术后,食道分泌体的新呈现模仿了阿喀拉西亚复发.
研究的目的:
- 描述一个新的实体的食道分泌体在完整的秋拉西亚骨髓切除后.
- 为了分析临床数据,诊断,治疗和患者的后肌切除术发性分泌器的结果.
- 提出一个诊断和治疗的算法,为dysphagia在 achalasia myotomy之后.
主要方法:
- 对前性维护的阿喀拉西亚和分患者数据库的审查 (2012年1月 - 2024年6月).
- 收集和分析人口,临床,诊断,治疗和结果数据.
- 专注于在先前进行肌肉切除后接受食道分泌切除术的患者.
主要成果:
- 九名患者接受了食道分泌切除术;五名患者先前曾经接受过秋拉西亚肌切除术 (口腔内镜肌切除术,腹腔镜赫勒肌切除术或肺部扩张).
- 所有患者都经历了症状复发,并确认了下管道的开放.
- 消化管分泌切除术,没有额外的肌肉切除术,解决了消化不良 (埃卡德得分的中位数从5提高到0).
结论:
- 在充足的阿卡拉西亚肌肉切除后,可以出现表性分歧,导致食.
- 这种实体,不同于不足的肌肉切除术,是通过分泌器切除术有效治疗的.
- 在阿喀拉西亚患者中,建议使用诊断和治疗算法来诊断和治疗肌切除术后的失足症.
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