Onozato Yusuke, Sasaki Yu, Abe Yasuhiko, Yaoita Takao, Yagi Makoto, Mizumoto Naoko, Shoji Masakuni, Kon Takashi, Nishise Shoichi, Ueno Yoshiyuki
Department of Gastroenterology, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.
Division of Endoscopy, Yamagata University Hospital, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.
Clin J Gastroenterol. 2019 Aug;12(4):292-295. doi: 10.1007/s12328-019-00940-8. Epub 2019 Jan 29.
Esophageal intramural pseudodiverticulosis (EIPD) is an uncommon benign disorder leading to esophageal strictures. The etiology remains unknown; however, anti-fungal treatments or endoscopic balloon dilation can improve early esophageal strictures and these rarely require surgical treatment. We report a case of a 46-year-old male with a 6 cm-long esophageal stricture due to EIPD, which did not improve following treatment with an anti-fungal agent, eventually causing aspiration pneumonia. Therefore, we performed a thoraco-laparoscopic esophagectomy, and his symptoms were improved after surgery. This case suggests that a surgical treatment should be considered in patients with extensive, severe strictures attributable to EIPD.
食管壁内假性憩室病（EIPD）是一种导致食管狭窄的罕见良性疾病。其病因尚不清楚；然而，抗真菌治疗或内镜下球囊扩张可改善早期食管狭窄，且这些情况很少需要手术治疗。我们报告一例46岁男性因EIPD导致6厘米长的食管狭窄，抗真菌药物治疗后未改善，最终引发吸入性肺炎。因此，我们进行了胸腹腔镜联合食管切除术，术后他的症状得到改善。该病例表明，对于因EIPD导致广泛、严重狭窄的患者，应考虑手术治疗。
