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一个异常难治的沙茨基环。

An unusually intractable Schatzki ring.

作者信息

Molins L, Payne W S, Cameron A J, MacCarty R L

机构信息

Section of Thoracic and Cardiovascular Surgery, Mayo Clinic, Rochester, MN 55905.

出版信息

Ann Thorac Surg. 1988 Mar;45(3):327-9. doi: 10.1016/s0003-4975(10)62474-5.

DOI:10.1016/s0003-4975(10)62474-5
PMID:3348705
Abstract

Most patients with Schatzki's ring have dysphagia that can be relieved by esophageal dilation. We report an unusual case in which dysphagia caused by a Schatzki ring could not be managed conservatively. The obstructing ring was excised through a gastrotomy approached by a left-sided thoracotomy. An antireflux procedure was done after elimination of the ring. Five years later, the patient remained symptom free.

摘要

大多数患有沙茨基环的患者会出现吞咽困难,可通过食管扩张术缓解。我们报告了一例罕见病例,该病例中由沙茨基环引起的吞咽困难无法通过保守治疗解决。通过左侧开胸手术经胃切开术切除梗阻环。在切除环后进行了抗反流手术。五年后,患者症状消失。

相似文献

1
An unusually intractable Schatzki ring.一个异常难治的沙茨基环。
Ann Thorac Surg. 1988 Mar;45(3):327-9. doi: 10.1016/s0003-4975(10)62474-5.
2
[Fibrous Schatzki ring. An alternative of surgical treatment].[纤维性沙茨基环。手术治疗的一种替代方法]
Arq Gastroenterol. 1988 Apr-Jun;25(2):89-92.
3
The nature and surgical treatment of lower esophageal ring (Schatzki's ring).食管下环(沙茨基环)的性质与外科治疗
J Thorac Cardiovasc Surg. 1972 Jan;63(1):34-40.
4
Obliteration of symptomatic Schatzki rings with jumbo biopsy forceps (with video).用大型活检钳消除有症状的沙茨基环(附视频)
Dis Esophagus. 2014 Sep-Oct;27(7):607-10. doi: 10.1111/dote.12167. Epub 2014 Feb 19.
5
Single-session, graded esophageal dilation without fluoroscopy in outpatients with lower esophageal (Schatzki's) rings: a prospective, long-term follow-up study.门诊食管下段(沙茨基氏)环患者非透视下单次分级食管扩张术:一项前瞻性长期随访研究
J Gastroenterol Hepatol. 2007 May;22(5):653-7. doi: 10.1111/j.1440-1746.2006.04368.x.
6
Schatzki's ring: a benign cause of dysphagia in adults.沙茨基环:成人吞咽困难的一个良性病因。
J Clin Gastroenterol. 2002 Oct;35(4):295-8. doi: 10.1097/00004836-200210000-00004.
7
Late results in patients with Schatzki rings undergoing destruction of the ring and hiatus herniorrhaphy.
Am J Surg. 1980 Apr;139(4):591-4. doi: 10.1016/0002-9610(80)90343-8.
8
[Radiologic and radiocinematographic aspects of Schatzki's ring].[沙茨基环的放射学和放射电影造影学特征]
J Radiol Electrol Med Nucl. 1969 May;50(5):324-5.
9
Schatzki's ring: long-term results following dilation.沙茨基环:扩张术后的长期结果。
Gastrointest Endosc. 1990 Sep-Oct;36(5):479-81. doi: 10.1016/s0016-5107(90)71119-4.
10
A randomized, prospective trial of electrosurgical incision followed by rabeprazole versus bougie dilation followed by rabeprazole of symptomatic esophageal (Schatzki's) rings.一项关于有症状的食管(沙茨基氏)环的随机前瞻性试验,比较电刀切开联合雷贝拉唑与探条扩张联合雷贝拉唑的疗效。
Gastrointest Endosc. 2008 May;67(6):808-13. doi: 10.1016/j.gie.2007.10.062. Epub 2008 Mar 7.

引用本文的文献

1
Effectiveness of single dilation with Maloney dilator versus endoscopic rupture of Schatzki's ring using biopsy forceps.使用马洛尼扩张器单次扩张与使用活检钳内镜下破裂施茨基环的有效性比较。
Dig Dis Sci. 2000 Feb;45(2):281-4. doi: 10.1023/a:1005448206951.
2
Single dilation of symptomatic Schatzki rings. A prospective evaluation of its effectiveness.有症状的沙茨基环的单次扩张:对其有效性的前瞻性评估
Dig Dis Sci. 1992 Apr;37(4):577-82. doi: 10.1007/BF01307582.