一名患有滑动型食管裂孔疝的患者在内镜下静脉曲张套扎术后出现完全性食管梗阻。
Complete Esophageal Obstruction after Endoscopic Variceal Band Ligation in a Patient with a Sliding Hiatal Hernia.
作者信息
Mansour Munthir, Abdel-Aziz Yousef, Awadh Hesham, Shah Nihar, Ajmera Akash
机构信息
Department of Internal Medicine, Joan C. Edwards School of Medicine, Marshall University, Huntington, WV.
Department of Gastroenterology, Joan C. Edwards School of Medicine, Marshall University, Huntington, WV.
出版信息
ACG Case Rep J. 2017 Jan 18;4:e8. doi: 10.14309/crj.2017.8. eCollection 2017.
Complete esophageal obstruction is a rare complication of endoscopic variceal banding, with only 6 cases in the English literature since the introduction of endoscopic variceal banding in 1986. We report a case of complete esophageal obstruction following esophageal banding due to entrapment of part of a sliding hiatal hernia. To our knowledge, our case is one of few with esophageal obstruction post-banding, and the first associated with a hiatal hernia. We recommend caution when performing esophageal banding on patients with a hiatal hernia.
完全性食管梗阻是内镜下静脉曲张套扎术的一种罕见并发症，自1986年内镜下静脉曲张套扎术应用以来，英文文献中仅报道过6例。我们报告1例因滑动性食管裂孔疝部分嵌顿导致食管套扎术后出现完全性食管梗阻的病例。据我们所知，我们的病例是少数套扎术后发生食管梗阻的病例之一，也是首例与食管裂孔疝相关的病例。我们建议对患有食管裂孔疝的患者进行食管套扎术时要谨慎。
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