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游离空肠移植重建颈段食管后因孤立性空肠憩室导致吞咽困难[校正后]

Dysphagia [corrected] due to solitary jejunal diverticulum after free jejunal transfer for reconstruction of the cervical oesophagus.

作者信息

Cigna Emanuele, Ozkan Omer, Chen Hung-Chi

机构信息

Departments of Plastic and Reconstructive Surgery, E-Da Hospital, I-Shou University, 1 E-Da Road, Jiau-Shu Tsuen, Yan-Chau Shiang 824, Kaohsiung County, Taiwan, ROC.

出版信息

J Plast Reconstr Aesthet Surg. 2006;59(8):874-7. doi: 10.1016/j.bjps.2005.11.015. Epub 2006 Feb 20.

Abstract

The free jejunal flap has been widely used in clinical practice for the restoration of the cervical oesophagus, but a variety of complications still pose problems. The purpose of this report is to present a rare complication of the jejunal flap. A diverticulum of the jejunal segment, causing severe dysphagia, occurred 4 years after flap transfer in a 50-year-old man who underwent oesophageal reconstruction due to severe stricture following caustic ingestion. The patient was treated successfully by resection of the diverticulum. When examining a patient with unidentified symptoms in the neck or dysphagia after cervical oesophageal reconstruction with free jejunal transplant the possibility of small bowel diverticula should be borne in mind in order to prevent serious life-threatening complications that may arise from it.

摘要

游离空肠瓣已在临床实践中广泛用于颈段食管重建,但仍存在各种并发症问题。本报告旨在介绍一种罕见的空肠瓣并发症。一名50岁男性因腐蚀性物质摄入后严重狭窄接受食管重建,在游离空肠瓣移植4年后出现空肠段憩室,导致严重吞咽困难。该患者通过憩室切除术成功治愈。在检查颈段食管重建术后颈部出现不明症状或吞咽困难的患者时,应考虑小肠憩室的可能性,以防止可能由此引发的严重危及生命的并发症。

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