Sisli Etfal Research and Training Hospital, 2. Internal Medicine Clinic, Sisli, 34377, Istanbul, Turkey.
World J Gastroenterol. 2010 Apr 7;16(13):1673-5. doi: 10.3748/wjg.v16.i13.1673.
The most frequent health problems seen in senility are chronic and degenerative diseases. A 75-year-old male patient with the complaints of weight loss and difficulty in swallowing was admitted to our hospital from a nursing home. Upper system fiber-optic gastrointestinal endoscopy was performed and a mass at the junction of the hypopharynx and esophagus just below recessus piriformis obstructing almost the whole of the lumen and blocking the distal passage was detected. Computed tomography revealed marked narrowing secondary to osseous hypertrophy in the air column of the hypopharynx and proximal esophagus. Diffuse idiopathic skeletal hyperostosis or Forestier's disease is an idiopathic disease characterized by the ossification of the anterior longitudinal ligament of vertebra and some of the extraspinal ligaments. In the present case we aim to discuss an elderly patient who suffered from dysphagia and weight loss and the diagnostic stages.
衰老患者最常见的健康问题是慢性和退行性疾病。一位 75 岁男性患者,因体重减轻和吞咽困难入住我院。行上消化道纤维内镜检查,于梨状窝下方食管入口处发现一肿块,几乎完全阻塞管腔并堵塞远端通道。计算机断层扫描显示由于下咽和食管近端空气柱的骨肥大导致明显狭窄。弥漫性特发性骨肥厚症或 Forestier 病是一种特发性疾病,其特征是椎体前纵韧带和一些脊柱外韧带的骨化。在本病例中,我们旨在讨论一位患有吞咽困难和体重减轻的老年患者以及诊断阶段。