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淀粉样变性所致的贲门失弛缓症样食管。气囊扩张术治疗成功。

Achalasia-like esophagus from amyloidosis. Successful treatment with pneumatic bag dilatation.

作者信息

Costigan D J, Clouse R E

出版信息

Dig Dis Sci. 1983 Aug;28(8):763-5. doi: 10.1007/BF01312569.

DOI:10.1007/BF01312569
PMID:6872809
Abstract

A 78-year-old man with amyloidosis involving the esophagus is described. The clinical and radiographic features resembled classic achalasia, while esophageal manometrics demonstrated aperistalsis, incomplete LES relaxation, but a normal LES resting pressure. A review of the literature suggests that esophageal amyloid may have variable presentations. This patient was successfully managed with forceful pneumatic bag dilatation.

摘要

本文描述了一名患有食管淀粉样变性的78岁男性。其临床和影像学特征类似于典型的贲门失弛缓症,而食管测压显示无蠕动、LES松弛不完全,但LES静息压正常。文献回顾表明,食管淀粉样变可能有多种表现形式。该患者通过强力气囊扩张术成功得到治疗。

相似文献

1
Achalasia-like esophagus from amyloidosis. Successful treatment with pneumatic bag dilatation.淀粉样变性所致的贲门失弛缓症样食管。气囊扩张术治疗成功。
Dig Dis Sci. 1983 Aug;28(8):763-5. doi: 10.1007/BF01312569.
2
[Pseudo-achalasia secondary to esophageal amyloidosis treated by pneumatic dilatation].[经气囊扩张治疗的食管淀粉样变性继发假性贲门失弛缓症]
Gastroenterol Clin Biol. 1997;21(12):1000-1.
3
Is aperistalsis with complete lower esophageal sphincter relaxation an early stage of classic achalasia?伴有食管下括约肌完全松弛的无蠕动是典型贲门失弛缓症的早期阶段吗?
J Gastroenterol Hepatol. 2007 Apr;22(4):536-41. doi: 10.1111/j.1440-1746.2006.04517.x.
4
[Esophageal amyloidosis secondary to rheumatoid arthritis simulating achalasia].[类风湿关节炎继发食管淀粉样变性模拟贲门失弛缓症]
Med Clin (Barc). 1994 May 7;102(17):661-3.
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Radiographic and manometric correlation in achalasia with apparent relaxation of the lower esophageal sphincter.贲门失弛缓症中食管下括约肌明显松弛的影像学与测压相关性
Gastrointest Radiol. 1989 Winter;14(1):1-5. doi: 10.1007/BF01889144.
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Achalasia with complete relaxation of lower esophageal sphincter: radiographic-manometric correlation.食管下括约肌完全松弛的贲门失弛缓症:影像学与测压的相关性
Radiology. 2005 Jun;235(3):886-91. doi: 10.1148/radiol.2353040732. Epub 2005 Apr 15.
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Achalasia.贲门失弛缓症
Gastroenterologist. 1995 Dec;3(4):273-88.
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Pneumatic balloon dilatation in primary achalasia: the long-term follow-up results.原发性贲门失弛缓症的气囊扩张术:长期随访结果
Hepatogastroenterology. 2005 Mar-Apr;52(62):475-80.
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Long-term results of graded pneumatic dilatation under endoscopic guidance in patients with primary esophageal achalasia.内镜引导下分级气囊扩张治疗原发性食管贲门失弛缓症患者的长期疗效
World J Gastroenterol. 2004 Nov 15;10(22):3322-7. doi: 10.3748/wjg.v10.i22.3322.
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[Pseudoachalasia and secondary amyloidosis in a patient with rheumatoid arthritis].[一名类风湿性关节炎患者的假性贲门失弛缓症和继发性淀粉样变性]
Gastroenterol Hepatol. 2002 Jun-Jul;25(6):398-400. doi: 10.1016/s0210-5705(02)70274-4.

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Gastrointestinal amyloidosis in a 50-year-old patient with miliary tuberculosis: A case report.一名50岁粟粒性肺结核患者的胃肠道淀粉样变性:病例报告
Clin Case Rep. 2024 May 24;12(6):e8978. doi: 10.1002/ccr3.8978. eCollection 2024 Jun.
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Two Cases of Gastric and Esophageal Amyloidosis.两例胃和食管淀粉样变性病例。
Gastroenterol Hepatol (N Y). 2009 Aug;5(8):571-574.
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Usefulness of Endoscopy for the Detection and Diagnosis of Primary Esophageal Motility Disorders and Diseases Relating to Abnormal Esophageal Motility.内镜检查在原发性食管动力障碍及与食管动力异常相关疾病的检测和诊断中的应用价值

本文引用的文献

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Tough to Swallow: Esophageal Food Impaction from Esophageal Amyloidosis.难以吞咽:食管淀粉样变性导致的食管食物嵌塞
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Amyloidosis.淀粉样变性
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Primary amyloid tumour of the oesophagus treated by colon transplant.经结肠移植治疗的原发性食管淀粉样瘤
Br J Surg. 1967 Nov;54(11):943-6. doi: 10.1002/bjs.1800541109.
8
Deposition of amyloid in the gastrointestinal tract.淀粉样蛋白在胃肠道的沉积。
Gut. 1969 Feb;10(2):98-104. doi: 10.1136/gut.10.2.98.
9
The radiographic manifestations of amyloidosis.淀粉样变性的影像学表现。
Am J Roentgenol Radium Ther Nucl Med. 1971 Apr;111(4):821-32. doi: 10.2214/ajr.111.4.821.
10
Roentgenologic appearance of systemic amyloidosis involving gastrointestinal tract.累及胃肠道的系统性淀粉样变性的放射学表现。
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