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使用全覆膜金属支架成功治疗持续性扁平苔藓食管狭窄

Successful Treatment of a Persistent Esophageal Lichen Planus Stricture With a Fully Covered Metal Stent.

作者信息

Stein Peter, Brun Alexander, Zaidi Hina, Sejpal Divyesh V, Trindade Arvind J

机构信息

Division of Gastroenterology, Hofstra North Shore-LIJ School of Medicine, Long Island Jewish Medical Center, New Hyde Park, NY.

出版信息

ACG Case Rep J. 2016 Jan 20;3(2):98-100. doi: 10.14309/crj.2016.12. eCollection 2016 Jan.

DOI:10.14309/crj.2016.12
PMID:26958558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4748194/
Abstract

We report a case of a 51-year-old woman with an esophageal lichen planus (ELP) stricture refractory to medical therapy and endoscopic stricture dilation. A multidisciplinary decision was made to place an esophageal fully covered metal stent. The stent was removed 6 weeks later and the patient is doing well on 3-month follow up. We show that a removable esophageal stent is an option after standard medical therapy and endoscopic dilations fail. This is the first reported use of an esophageal stent for therapy of an ELP stricture.

摘要

我们报告了一例51岁女性患者,患有食管扁平苔藓(ELP)狭窄,对药物治疗和内镜下狭窄扩张均无效。经多学科会诊后决定置入一枚全覆膜食管金属支架。6周后取出支架,患者在3个月的随访中情况良好。我们表明,在标准药物治疗和内镜扩张失败后,可移除的食管支架是一种选择。这是首次报道使用食管支架治疗ELP狭窄。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c26/4748194/4ea77e7dc9e9/crj-03-098-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c26/4748194/1e810f63c440/crj-03-098-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c26/4748194/60a638c10406/crj-03-098-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c26/4748194/4ea77e7dc9e9/crj-03-098-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c26/4748194/1e810f63c440/crj-03-098-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c26/4748194/60a638c10406/crj-03-098-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c26/4748194/4ea77e7dc9e9/crj-03-098-g003.jpg

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本文引用的文献

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Case report and review of esophageal lichen planus treated with fluticasone.病例报告及氟替卡松治疗食管扁平苔藓的回顾。
World J Gastroenterol. 2013 Mar 14;19(10):1652-6. doi: 10.3748/wjg.v19.i10.1652.
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Dysphagia in a patient with small-caliber esophagus.
Gastroenterology. 2012 Oct;143(4):e9-10. doi: 10.1053/j.gastro.2012.03.052. Epub 2012 Aug 23.
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Variations in presentations of esophageal involvement in lichen planus.扁平苔藓食管受累表现的差异。
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Sole treatment of lichen planus-associated esophageal stenosis with injection of corticosteroids.单纯使用皮质类固醇注射治疗扁平苔藓相关的食管狭窄。
Gastrointest Endosc. 2006 Jan;63(1):168-9. doi: 10.1016/j.gie.2005.07.045.