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[食管壁内假性憩室病相关的吞咽困难和复发性食管狭窄。病例报告]

[Dysphagia and recurrent esophageal stenosis associated with intramural pseudodiverticulosis of the esophagus. A case report].

作者信息

Ifrim D, Rickaert F, Van Gossum M

机构信息

C.H.U. Saint-Pierre.

出版信息

Rev Med Brux. 2010 Nov-Dec;31(6):529-32.

Abstract

Intramural pseudodiverticulosis of the esophagus is a rare benign disease of the eosphageal wall, with dilation of the submucosal glands, and the predominant symptom is dysphagia. This disorder may be associated with gastroesophageal reflux, motility disorders, candidiasis and alcoholism. Inflammation, resulting in periductal fibrosis and compression of the duct orifices, may be a causative factor. Good and long-lasting therapeutic success can be achieved by bouginage of the stenosis with concomitant treatment of the associated esophageal diseases. Esophageal intramural pseudodiverticulosis is a differential diagnosis in cases of dyspagia and/or esophageal strictures if no other causes are found.

摘要

食管壁内假性憩室病是一种罕见的食管壁良性疾病,其特征为黏膜下腺体扩张,主要症状是吞咽困难。这种疾病可能与胃食管反流、动力障碍、念珠菌病和酗酒有关。炎症导致导管周围纤维化以及导管开口受压,可能是一个致病因素。通过对狭窄部位进行探条扩张并同时治疗相关的食管疾病,可取得良好且持久的治疗效果。如果未发现其他病因,食管壁内假性憩室病是吞咽困难和/或食管狭窄病例的鉴别诊断之一。

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