Ashrafian Hutan, Navarro-Sanchez Antonio, Athanasiou Thanos, Sherman David I, Isla Alberto
Northwick Park and St Mark's Hospitals, London, United Kingdom; Department of Surgery and Cancer, Imperial College London, London, United Kingdom.
Northwick Park and St Mark's Hospitals, London, United Kingdom.
Ann Thorac Surg. 2015 Jan;99(1):331-3. doi: 10.1016/j.athoracsur.2014.02.067.
Spontaneous esophageal perforation of a Barrett's ulcer is a rare condition that is associated with high morbidity and mortality. It occurs as a result of a missed diagnosis of underlying Barrett's esophagus or because of unresponsiveness to medical management. Owing to the life-threatening nature of this disease, emergency surgical intervention is indicated. Here, we report the first case of spontaneous Barrett's esophageal perforation that has been managed using a thoracoscopic approach. This case highlights the feasibility of minimally invasive methodology for emergent esophageal disorders. It also demonstrates the altered esophageal wall properties of Barrett's esophagus through musculofibrous thickening and muscularis mucosae duplication that may contribute to the technical outcomes of esophageal surgical management.
巴雷特溃疡自发性食管穿孔是一种罕见疾病，其发病率和死亡率都很高。它的发生是由于对潜在的巴雷特食管误诊，或是因为对药物治疗无反应。由于这种疾病危及生命，所以需要进行紧急手术干预。在此，我们报告首例采用胸腔镜方法治疗的巴雷特食管自发性穿孔病例。该病例突出了微创方法治疗紧急食管疾病的可行性。它还通过肌纤维增厚和黏膜肌层重复显示了巴雷特食管食管壁特性的改变，这可能有助于食管手术治疗的技术效果。
