Al-Lehibi Abed
Department of Gastroenterology, King Saud Bin Abdulaziz University-Health Science, King Fahad Medical City, Riyadh, Saudi Arabia.
ACG Case Rep J. 2016 Apr 15;3(3):162-4. doi: 10.14309/crj.2016.37. eCollection 2016 Apr.
Benign esophageal strictures leading to complete esophageal occlusion are well known. In the pre-endoscopic era, such cases required surgery, but over the last decade, various novel endoscopic techniques have been developed to prevent morbidity and mortality. A 37-year-old man presented after 1 year of dysphagia and weight loss, and was found to have complete esophageal obstruction, not allowing even passage of guidewire. We used a combination antegrade endoscopic abdominal procedures to deploy a stent, obviating the need for surgery. His symptoms improved dramatically, and the stent was successfully removed 12 weeks later. He is now swallowing normally and has gained significant weight.
导致食管完全闭塞的良性食管狭窄是众所周知的。在没有内镜的时代，此类病例需要进行手术，但在过去十年中，已经开发出了各种新颖的内镜技术以预防发病和死亡。一名37岁男性在出现吞咽困难和体重减轻1年后前来就诊，发现存在食管完全梗阻，甚至导丝都无法通过。我们采用了联合顺行性内镜腹部手术来置入支架，从而无需进行手术。他的症状显著改善，12周后成功取出了支架。他现在吞咽正常，体重也有了显著增加。
