Matsumoto Moe, Miyoshi Kenta, Kaneko Yoichiro, Sujino Hiroki, Tsurui Kazushige, Enomoto Masaya, Iwasaki Kenichi, Ota Yoshihiro, Katsumata Kenji, Nagakawa Yuichi
Dept. of Gastrointestinal and Pediatric Surgery, Tokyo Medical University.
Gan To Kagaku Ryoho. 2022 Dec;49(13):1696-1698.
A 53-year-old man was diagnosed as esophageal cancer, and esophagectomy was performed. Anastomotic stenosis was caused due to lymphorrhea and anastomotic leakage after surgery. Dilation was performed, though stenosis did not improved, we placed esophageal stent across the stenotic lesion. Pharyngitis occurred after indwelling esophageal stent, we hence removed the stent. Passage disorder was developed, we placed duodeneal stent which is more flexible. Stenosis is now palliated after placing duodeneal stent. Duodeneal stent could be an option for the tratment of anastomotic stenosis after esophageal surgery.
一名53岁男性被诊断为食管癌，并接受了食管切除术。术后因淋巴漏和吻合口漏导致吻合口狭窄。虽进行了扩张，但狭窄并未改善，于是我们在狭窄病变处放置了食管支架。留置食管支架后发生了咽炎，因此我们移除了支架。出现了通道障碍，我们放置了更具柔韧性的十二指肠支架。放置十二指肠支架后，狭窄目前已得到缓解。十二指肠支架可能是食管手术后吻合口狭窄治疗的一种选择。
