Krarup Jesper, Johansen Lars Vendelbo, Bundgaard Troels, Pahle Einar
Øre-næse-hals Afdeling H, Aarhus Universitetshospital, Aarhus Sygehus, 8000 Aarhus C, Denmark.
Ugeskr Laeger. 2011 Oct 31;173(44):2802-3.
We describe a 45 year-old man with a fibrovascular polyp attached to the entrance of the oesophagus. The patient had a history with regurgitation of polypose foreign body 4-5 years ago with spontaneous remission. Later the patient developed dysphagia, chest pain and weight loss. Gastroscopy revealed a large polyp in the oesophagus and biopsies showed no malignancy. Excision was intended to be performed endoscopically, but due to size, risk of bleeding and recurrence the operation was changed to a transcervical procedure. After one week the patient could eat and drink normally.
我们描述了一名45岁男性,其食管入口处附着有一个纤维血管性息肉。该患者有4至5年前息肉状异物反流病史,后自发缓解。后来患者出现吞咽困难、胸痛和体重减轻。胃镜检查发现食管内有一个大息肉,活检未显示恶性病变。原计划在内镜下切除,但由于息肉大小、出血风险和复发风险,手术改为经颈手术。一周后患者能够正常饮食。