Andrade Alonso, Folstein Matthew K, Davis Brian R
Department of Surgery, Texas Tech University Health Sciences Center, El Paso, TX, United States.
Department of Surgery, Texas Tech University Health Sciences Center, El Paso, TX, United States.
Int J Surg Case Rep. 2017;37:69-71. doi: 10.1016/j.ijscr.2017.06.020. Epub 2017 Jun 16.
Scleroderma is a systemic disease of collagen deposition resulting in fibrosis of small arteries and arterioles. It commonly affects the skin, lungs, and gastrointestinal tract. The most common site of GI tract involvement is the esophagus. We present the case report of a 44year old female with scleroderma esophagus and severe reflux which was successfully treated with robotic dor fundoplication. Because of the wide variety of symptoms with which this problem can present, a tailored approach taking into consideration the patient's symptomatology and findings during diagnostic work-up was implemented with good results. The patient exhibited complete resolution of symptoms at short term follow up. Robotic dor fundoplication is an effective option for patients with scleroderma esophagus and no evidence of hiatal hernia or esophageal shortening.
硬皮病是一种胶原蛋白沉积的全身性疾病，可导致小动脉和小动脉纤维化。它通常影响皮肤、肺和胃肠道。胃肠道受累最常见的部位是食管。我们报告一例44岁女性硬皮病食管伴严重反流患者，经机器人Dor胃底折叠术成功治疗。由于该问题可能出现的症状多种多样，因此实施了一种根据患者症状和诊断检查结果量身定制的方法，效果良好。患者在短期随访中症状完全缓解。对于无食管裂孔疝或食管缩短证据的硬皮病食管患者，机器人Dor胃底折叠术是一种有效的选择。
