Maayan C, Oren A, Goldin E, Dinour D, Goldberg M, Mogle P
Department of Internal Medicine, Hadassah University Hospital, Mount Scopus, Jerusalem, Israel.
Am J Gastroenterol. 1990 Jun;85(6):729-32.
A 42-yr-old woman with familial dysautonomia (FD) presented with severe episodes of apnea during the daytime, as well as during sleep. Investigations revealed a megaesophagus and a lower esophageal constriction. These caused accumulation of food in the esophagus, resulting in recurrent aspiration and apnea which disappeared after gastrostomy. Megaesophagus, a rare complication in FD patients, can occur in other diseases with autonomic dysfunctions, and one must be aware of its potential respiratory complications.
一名42岁患有家族性自主神经功能障碍（FD）的女性，在白天以及睡眠期间均出现严重的呼吸暂停发作。检查发现有巨食管和食管下段狭窄。这些情况导致食物在食管内积聚，进而引起反复误吸和呼吸暂停，在胃造口术后这些症状消失。巨食管是FD患者中一种罕见的并发症，也可能发生于其他伴有自主神经功能障碍的疾病中，必须意识到其潜在的呼吸并发症。
