Vallera R A, Brazer S R
Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA.
Am J Gastroenterol. 1995 Aug;90(8):1319-21.
We describe a 74-yr-old man with stage III adenocarcinoma of the lung who presented with suspected malignancy-induced secondary achalasia and responded clinically to intrasphincteric injections of botulinum toxin type A (Botox, Allergen Inc., Irvine, CA). We discuss the use of botulinum toxin in this setting, as well as diagnostic strategies to differentiate achalasia from pseudoachalasia.
我们描述了一名74岁的男性,患有III期肺腺癌,表现为疑似恶性肿瘤所致的继发性贲门失弛缓症,并对A型肉毒杆菌毒素(保妥适,爱力根公司,加利福尼亚州欧文市)进行括约肌内注射后临床症状得到缓解。我们讨论了在此情况下肉毒杆菌毒素的应用,以及区分贲门失弛缓症和假性贲门失弛缓症的诊断策略。