Vrabec D P, Colley A T
Ann Otol Rhinol Laryngol. 1983 Jul-Aug;92(4 Pt 1):344-8. doi: 10.1177/000348948309200407.
Giant intraluminal polyps of the esophagus are relatively rare. Their diagnosis often presents a confusing picture; radiographic studies are frequently misinterpreted as achalasia, and the endoscopic picture is often difficult to interpret. This report describes the case histories of three patients with giant intraluminal polyps of the esophagus. Each presents slightly different clinical features. The signs and symptoms are discussed in terms of the pathophysiology. Common pitfalls in diagnosis are reviewed. Suggestions to enable more accurate identification of these lesions are given. Finally, a systemic approach to treatment is outlined which offers the patient symptomatic relief while minimizing surgical complications and morbidity.
食管巨大腔内息肉相对少见。其诊断往往令人困惑;影像学检查常被误诊为贲门失弛缓症,而内镜检查结果也常常难以解读。本报告描述了3例食管巨大腔内息肉患者的病史。每例患者均呈现出略有不同的临床特征。根据病理生理学对体征和症状进行了讨论。回顾了诊断中常见的陷阱。给出了有助于更准确识别这些病变的建议。最后,概述了一种系统性的治疗方法,该方法在使手术并发症和发病率降至最低的同时,能为患者缓解症状。