常规马洛尼扩张术后食管破裂。一种推测的机制。
Esophageal rupture after routine Maloney dilatation. A proposed mechanism.
作者信息
Gertler J P, Brophy C, Elefteriades J
出版信息
J Clin Gastroenterol. 1986 Apr;8(2):175-6. doi: 10.1097/00004836-198604000-00014.
Abstract
Maloney dilatation of the esophagus is rarely associated with esophageal rupture. An 82-year-old man underwent routine upper endoscopy followed by esophageal dilatation, which was complicated by severe esophageal disruption and mediastinitis. One possible mechanism is gastric dilatation with obturation of the distal esophagus causing excessive pressure at the gastroesophageal (GE) junction. Endoscopy should always be followed by gastric air removal before introducing esophageal dilators.
摘要
马洛尼食管扩张很少与食管破裂相关。一名82岁男性接受了常规上消化道内镜检查，随后进行食管扩张，结果并发严重食管破裂和纵隔炎。一种可能的机制是胃扩张伴食管远端阻塞，导致胃食管（GE）交界处压力过高。在内镜检查后引入食管扩张器之前，应始终进行胃内气体清除。
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