Ali G N, Hunt D R, Jorgensen J O, deCarle D J, Cook I J
Department of Gastroenterology, St. George Hospital, University of New South Wales, Sydney, Australia.
Gastroenterology. 1995 Oct;109(4):1328-32. doi: 10.1016/0016-5085(95)90596-0.
Acute airway obstruction associated with esophageal achalasia is an uncommon but life-threatening complication. The pathophysiology of this phenomenon has not been fully defined. A fully documented case of coexistent esophageal achalasia and upper esophageal sphincter relaxation abnormality presenting with airway obstruction is reported. The patient was initially treated with Heller's myotomy but had a recurrence of respiratory distress. She was successfully treated by cricopharyngeal myotomy. The causes of gas entrapment and respiratory distress are likely to be due to failure of both swallow- and distention-induced upper esophageal sphincter relaxation. Cricopharyngeal myotomy is an effective treatment for this complication, probably by facilitating esophagopharyngeal gas venting.
与食管贲门失弛缓症相关的急性气道梗阻是一种罕见但危及生命的并发症。这种现象的病理生理学尚未完全明确。本文报告了一例食管贲门失弛缓症与食管上括约肌松弛异常并存并伴有气道梗阻的完整病例。该患者最初接受了赫勒肌切开术治疗，但呼吸窘迫复发。她通过环咽肌切开术成功治愈。气体潴留和呼吸窘迫的原因可能是吞咽和扩张诱导的食管上括约肌松弛均失败。环咽肌切开术可能通过促进食管咽气体排出，是治疗该并发症的有效方法。
