McNally P R, Lemon J C, Goff J S, Freeman S R
Gastroenterology Service, Fitzsimons Army Medical Center, Aurora, Colorado 80045-5001.
Dig Dis Sci. 1993 Feb;38(2):369-73. doi: 10.1007/BF01307558.
A case of a 31-year-old female with congenital esophageal stenosis presenting with symptoms of chest pain caused by esophageal dysmotility is described. The involved segment in congenital esophageal stenosis has a characteristic thickening of the muscularis propria layer, as seen by EUS examination. In these patients, symptoms of dysphagia can be managed with esophageal dilation and noncardiac esophageal chest pain responds to pharmacotherapy with diltiazem.
本文描述了一例31岁先天性食管狭窄女性患者，因食管动力障碍出现胸痛症状。经超声内镜（EUS）检查可见，先天性食管狭窄所累及节段的固有肌层有特征性增厚。对于这些患者，吞咽困难症状可通过食管扩张治疗，非心源性食管胸痛对使用地尔硫䓬的药物治疗有反应。
