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吞咽困难的罕见病因:副肿瘤性贲门失弛缓症。

Uncommon cause of dysphagia: paraneoplastic achalasia.

作者信息

Nasa Mukesh, Bhansali Shashank, Choudhary Narendra Singh, Sud Randhir

机构信息

Institute Of Digestive & Hepatobiliary Sciences, Medanta - The Medicity, Gurgaon, India.

Hepatology Department, Medanta-The Medicity, Gurgaon, India.

出版信息

BMJ Case Rep. 2018 Mar 7;2018:bcr-2017-223929. doi: 10.1136/bcr-2017-223929.

DOI:10.1136/bcr-2017-223929
PMID:29514836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5847995/
Abstract

Achalasia secondary to underlying neoplasm is a rare entity. Early recognition of secondary achalasia is important as its treatment involves management of underlying malignancy, while treatment of primary achalasia mainly involves lowering the lower oesophageal sphincter pressure with pneumatic dilatation or Heller's myotomy. We discuss an interesting case of achalasia secondary to non-Hodgkin's lymphoma.

摘要

继发于潜在肿瘤的贲门失弛缓症是一种罕见的病症。早期识别继发性贲门失弛缓症很重要,因为其治疗涉及对潜在恶性肿瘤的处理,而原发性贲门失弛缓症的治疗主要包括通过气囊扩张或赫勒肌切开术降低食管下括约肌压力。我们讨论一例继发于非霍奇金淋巴瘤的贲门失弛缓症的有趣病例。

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本文引用的文献

1
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Dis Esophagus. 2012 May;25(4):331-6. doi: 10.1111/j.1442-2050.2011.01266.x. Epub 2011 Oct 3.
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Retroperitoneal diffuse large B-cell lymphoma presenting as pseudoachalasia.表现为假性贲门失弛缓症的腹膜后弥漫性大B细胞淋巴瘤
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Gastroparesis, pseudoachalasia and impaired intestinal motility as paraneoplastic manifestations of small cell lung cancer.胃轻瘫、假性贲门失弛缓症及肠道动力障碍作为小细胞肺癌的副肿瘤表现
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8
Diagnosis of primary versus secondary achalasia: reassessment of clinical and radiographic criteria.原发性与继发性贲门失弛缓症的诊断:临床及影像学标准的重新评估
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