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食管癌切除术后数年发生的胃管扭转及其通过内镜支架置入的成功治疗

Gastric Tube Volvulus Occurring Years After Esophagectomy and Its Successful Treatment Via Endoscopic Stenting.

作者信息

Miller Alexander, Moudgal Rohitha, Dairi Obaida, Adler Jeffrey M, Rothstein Richard I

机构信息

Department of Medicine, Dartmouth Health, Lebanon, NH.

Department of Vascular Medicine, Cleveland Clinic, Cleveland, OH.

出版信息

ACG Case Rep J. 2024 Jul 17;11(7):e01435. doi: 10.14309/crj.0000000000001435. eCollection 2024 Jul.

DOI:10.14309/crj.0000000000001435
PMID:39021714
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11254118/
Abstract

Esophageal cancer is frequently treated with esophagectomy, which is associated with distinct complications. Delayed gastric conduit emptying is a well-recognized complication that usually occurs within the postoperative period. By contrast, gastric tube volvulus is a rarer complication with a more variable time course of onset after esophagectomy and can be mistaken for delayed gastric conduit emptying. We describe the fifth reported case of gastric tube volvulus occurring years after esophagectomy and its successful treatment via endoscopic stenting.

摘要

食管癌通常采用食管切除术进行治疗,该手术会伴随一些特定的并发症。胃代食管延迟排空是一种公认的并发症,通常发生在术后阶段。相比之下,胃管扭转是一种较为罕见的并发症,在食管切除术后发病时间过程更为多变,且可能被误诊为胃代食管延迟排空。我们报道了第五例食管切除术后数年发生的胃管扭转病例及其通过内镜支架置入术成功治疗的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f36/11254118/562cd75f7a00/ac9-11-e01435-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f36/11254118/37a57afaf3bf/ac9-11-e01435-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f36/11254118/562cd75f7a00/ac9-11-e01435-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f36/11254118/37a57afaf3bf/ac9-11-e01435-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f36/11254118/562cd75f7a00/ac9-11-e01435-g002.jpg

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本文引用的文献

1
Epidemiology of esophageal cancer in 2020 and projections to 2030 and 2040.2020 年食管癌流行病学及 2030 年和 2040 年预测。
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食管癌切除术后胃代食管通道排空延迟。
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Gastric tube volvulus following an Ivor-Lewis esophagectomy.艾弗-刘易斯食管切除术后胃管扭转
Ann R Coll Surg Engl. 2019 Jan;101(1):e1-e4. doi: 10.1308/rcsann.2018.0146. Epub 2018 Oct 5.
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Eur J Cardiothorac Surg. 2007 Feb;31(2):149-53. doi: 10.1016/j.ejcts.2006.11.010. Epub 2006 Dec 12.
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Volvulus of gastric tube reconstruction after transhiatal esophagectomy: an endoscopic solution.经胸段食管切除术后胃管重建的肠扭转:一种内镜解决方案。
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Volvulus of the intrathoracic stomach after total esophagectomy.全食管切除术后胸内胃扭转
J Thorac Cardiovasc Surg. 1990 Oct;100(4):633-4.