Gastrointestinal endoscopy · 2007
Antegrade and retrograde endoscopic approach in the establishment of a neo-esophagus: a novel technique.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Al-Haddad Mohammad, Pungpapong Surakit, Wallace Michael B, Raimondo Massimo, Woodward Timothy A
Аннотация
BACKGROUND: Although total obstruction or secondary atresia of the esophagus is extremely rare, high-grade strictures are not uncommon. The retrograde approach was previously described to achieve dilation when the conventional antegrade method fails.
SETTING: Gastroenterology laboratory in a tertiary referral center.
PATIENT: A 30-year-old man with congenital T-cell immunodeficiency had complete esophageal obstruction after a severe episode of cryptococcal meningitis that required prolonged nasogastric intubation. For the next 3 years, he had daily episodes of regurgitations and several hospitalizations for aspiration pneumonia. A barium study revealed a dilated megaesophagus, with no contrast reaching to the stomach.
INTERVENTION: Initially, a new track was created by using access from above and below the obstruction. This was followed by placement of a self-expandable silicone stent after allowing sufficient time for the new track to mature.
MAIN OUTCOME MEASUREMENTS: Restoration of esophageal continuity, which allowed resolution of the patient's aspiration pneumonia and resumption of oral feeding.
CONCLUSIONS: Complete esophageal obstruction after prolonged nasogastric intubation is a rare but serious complication. A novel endoscopic approach can be used to restore esophageal continuity, minimize complications, and avoid major reconstructive surgeries.
SETTING: Gastroenterology laboratory in a tertiary referral center.
PATIENT: A 30-year-old man with congenital T-cell immunodeficiency had complete esophageal obstruction after a severe episode of cryptococcal meningitis that required prolonged nasogastric intubation. For the next 3 years, he had daily episodes of regurgitations and several hospitalizations for aspiration pneumonia. A barium study revealed a dilated megaesophagus, with no contrast reaching to the stomach.
INTERVENTION: Initially, a new track was created by using access from above and below the obstruction. This was followed by placement of a self-expandable silicone stent after allowing sufficient time for the new track to mature.
MAIN OUTCOME MEASUREMENTS: Restoration of esophageal continuity, which allowed resolution of the patient's aspiration pneumonia and resumption of oral feeding.
CONCLUSIONS: Complete esophageal obstruction after prolonged nasogastric intubation is a rare but serious complication. A novel endoscopic approach can be used to restore esophageal continuity, minimize complications, and avoid major reconstructive surgeries.