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小口,大问题:食管食物团嵌塞与小口畸形。

Small Opening, Big Problem: Esophageal Food Bolus Impaction and Microstomia.

作者信息

Madhu Mathew, Mbachi Chimezie, Aisien Efesomwan, Attar Bashar, Kotwal Vikram

机构信息

John H. Stroger Hospital of Cook County, Chicago, IL.

出版信息

ACG Case Rep J. 2019 Oct 22;6(10):e00215. doi: 10.14309/crj.0000000000000215. eCollection 2019 Oct.

DOI:10.14309/crj.0000000000000215
PMID:31832452
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6855539/
Abstract

Patients presenting to the hospital with esophageal food bolus impaction often need urgent upper endoscopy. However, patients with trismus and microstomia can pose a real challenge because endoscopic access in these patients can be difficult. We present a unique transoral endoscopic approach for esophageal food bolus disimpaction in a patient with microstomia and trismus resulting from chronic graft-vs-host disease.

摘要

因食管食物团块嵌塞而到医院就诊的患者通常需要紧急进行上消化道内镜检查。然而,牙关紧闭和小口畸形的患者会带来实际挑战,因为对这些患者进行内镜检查可能会很困难。我们介绍了一种独特的经口内镜方法,用于治疗一名因慢性移植物抗宿主病导致小口畸形和牙关紧闭的患者的食管食物团块梗阻。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7104/6855539/01cb48b2a262/ac9-6-e00215-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7104/6855539/c6a9d0e35d50/ac9-6-e00215-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7104/6855539/01cb48b2a262/ac9-6-e00215-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7104/6855539/c6a9d0e35d50/ac9-6-e00215-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7104/6855539/01cb48b2a262/ac9-6-e00215-g002.jpg

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1
Small Opening, Big Problem: Esophageal Food Bolus Impaction and Microstomia.小口,大问题:食管食物团嵌塞与小口畸形。
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本文引用的文献

1
Graft-versus-host disease affecting oral cavity. A review.移植物抗宿主病累及口腔。综述。
J Clin Exp Dent. 2015 Feb 1;7(1):e138-45. doi: 10.4317/jced.51975. eCollection 2015 Feb.
2
Endoscopy in microstomia: thinking outside the box.
Clin Gastroenterol Hepatol. 2011 May;9(5):A18. doi: 10.1016/j.cgh.2010.10.030. Epub 2010 Nov 9.
3
Trismus: causes, differential diagnosis, and treatment.牙关紧闭:病因、鉴别诊断及治疗
Gen Dent. 1997 Jul-Aug;45(4):350-5.