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[局部应用丝裂霉素C治疗一名4岁男孩腐蚀性摄入后良性食管狭窄]

[Topical mitomycin C treatment of a benign oesophageal stricture following caustic ingestion in a four-year-old boy].

作者信息

Fröhlich T, Greess H, Köhler H

机构信息

Pädiatrische Gastroenterologie, Kinder- und Jugendklinik, Universitätsklinikum Erlangen, Loschgestrasse 15, 91054 Erlangen.

出版信息

Z Gastroenterol. 2007 Mar;45(3):255-8. doi: 10.1055/s-2006-927153.

DOI:10.1055/s-2006-927153
PMID:17357956
Abstract

Accidental caustic ingestion is a common problem in young children at the age of 1 to 4 years. In cases of circular injuries of the oesophagus subsequent strictures can arise. Endoscopic balloon dilatation is the commonly used intervention but does not always lead to permanent improvement. We report the successful use of mitomycin C in a young boy in whom we could achieve ongoing relief of dysphagia after the unsuccessful long-term use of frequent endoscopic dilatations.

摘要

意外吞入腐蚀性物质是1至4岁幼儿中的常见问题。食管出现环形损伤时,后续可能会形成狭窄。内镜下球囊扩张是常用的干预措施,但并不总能带来永久性改善。我们报告了丝裂霉素C在一名小男孩身上的成功应用,该患儿长期频繁进行内镜扩张但未成功,而使用丝裂霉素C后吞咽困难得到了持续缓解。

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