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引入固体食物后出现吞咽困难:先天性食管狭窄的典型表现

[Dysphagia after introduction of solid food: typical presentation of congenital oesophageal stenosis].

作者信息

Kockelkoren Esther, Sleeboom Christien, van der Voorn J Patrick, Wilde Jim C H, Koot Bart G P, Kneepkens C M Frank

机构信息

VU medisch centrum, Afd. Kindergeneeskunde, Amsterdam, the Netherlands.

出版信息

Ned Tijdschr Geneeskd. 2012;156(4):A3794.

Abstract

BACKGROUND

Congenital oesophageal stenosis is a rare cause of food passage symptoms in infants. It has a typical presentation with symptoms of dysphagia of solid food, starting at the time of introducing supplementary feeding.

CASE DESCRIPTION

We present a 6-month-old girl, who started spitting and coughing and had a slower growth rate after the introduction of solid food. Using upper gastrointestinal tract radiography, oesophagogastroscopy and histopathological examination, a congenital oesophageal stenosis due to tracheobronchial remnants was demonstrated. The stenosis was surgically removed. This case description is typical for congenital oesophageal stenosis.

CONCLUSION

Early recognition of the typical presentation of congenital oesophageal stenosis can prevent unnecessary investigation and delay in treatment. Surgical resection of the stenotic oesophageal segment usually results in full recovery.

摘要

背景

先天性食管狭窄是婴儿食物通过症状的罕见原因。它具有典型表现,即从添加辅食时开始出现固体食物吞咽困难的症状。

病例描述

我们报告一名6个月大的女孩,在添加固体食物后开始出现吐奶、咳嗽,生长速度减慢。通过上消化道造影、食管胃镜检查和组织病理学检查,证实为气管支气管残余导致的先天性食管狭窄。狭窄段经手术切除。该病例描述是先天性食管狭窄的典型表现。

结论

早期识别先天性食管狭窄的典型表现可避免不必要的检查和治疗延误。手术切除狭窄的食管段通常可实现完全康复。

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