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食管裂孔疝修补术和磁性括约肌增强术治疗喉咽反流以预防喉癌复发

Hiatal hernia repair and magnetic sphincter augmentation to treat laryngopharyngeal reflux aiding the prevention of recurrent laryngeal cancer.

作者信息

Smoot Madeline, Ward Marc A, Arviso Lindsey, Sanchez Christine E, Leeds Steven G

机构信息

Texas A&M College of Medicine, Bryan, Texas.

Center for Advanced Surgery, Baylor University Medical Center, Dallas, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2020 Sep 28;34(1):148-150. doi: 10.1080/08998280.2020.1818167.

Abstract

Laryngopharyngeal reflux (LPR) is a difficult disease to treat and can result in mucosal injury in the pharynx and larynx. This typically results in symptoms such as cough, hoarseness, and globus sensation, but the manifestation of cancer is a possibility. We present a patient with a squamous cell cancer of the larynx who was diagnosed with gastroesophageal reflux disease (GERD) and found to have LPR. The cancer was treated locally and GERD was eradicated with magnetic sphincter augmentation. After 15 months of follow-up, there was no residual cancer. This case highlights the role that untreated LPR may play in patients' risk of developing laryngeal cancer.

摘要

喉咽反流(LPR)是一种难以治疗的疾病,可导致咽喉部黏膜损伤。这通常会导致咳嗽、声音嘶哑和咽喉异物感等症状,但也有可能出现癌症表现。我们报告一名患有喉鳞状细胞癌的患者,该患者被诊断为胃食管反流病(GERD)并发现存在喉咽反流。对癌症进行了局部治疗,并用磁括约肌增强术根除了胃食管反流病。经过15个月的随访,没有残留癌症。该病例突出了未经治疗的喉咽反流在患者患喉癌风险中可能起的作用。

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