Lai W W, Wu M H, Shin J S
Department of Surgery, National Cheng Kung University Medical College, Tainan, Taiwan, R.O.C.
Hepatogastroenterology. 1999 Jul-Aug;46(28):2419-21.
The severity of submucosal dissection is intermediate between transmural rupture and mucosal tear in the esophagus. We describe a case of submucosal dissection of the esophagus with characteristic features of mucosal bridge endoscopically and "double-barreled" in radiography. The patient was successfully treated by intermittent esophageal tamponade of 5-day duration using a Sengstaken-Blackmore tube, and total parenteral nutrition. His course was uneventful in a follow-up period of 5 years.
食管黏膜下剥离的严重程度介于透壁破裂和黏膜撕裂之间。我们描述了一例食管黏膜下剥离病例,该病例在内镜下具有黏膜桥的特征性表现,在影像学上呈“双筒状”。患者通过使用Sengstaken-Blackmore管进行为期5天的间歇性食管压迫和全胃肠外营养治疗成功治愈。在5年的随访期内,他的病情平稳。