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ID 54915
Sort Key
8
Title Alternative
Thoracoscopic esophagectomy was effective in a case of lower esophageal stenosis due to recurrence of achalasia after myotomy 40 years previously
FullText URL
129_41.pdf 3.66 MB
Author
Katsura, Yuki Department of Gastroenterological Surgery, Okayama University Hospital
Shirakawa, Yasuhiro Department of Gastroenterological Surgery, Okayama University Hospital ORCID Kaken ID publons
Tanabe, Shunsuke Department of Gastroenterological Surgery, Okayama University Hospital Kaken ID
Maeda, Naomi Department of Gastroenterological Surgery, Okayama University Hospital
Noma, Kazuhiro Department of Gastroenterological Surgery, Okayama University Hospital ORCID Kaken ID publons researchmap
Fujiwara, Toshiyoshi Department of Gastroenterological Surgery, Okayama University Hospital ORCID Kaken ID publons researchmap
Abstract
When planning surgery for achalasia, it is important to plan for adequate myotomy and prevention of reflux. However, achalasia may recur if the procedure was inadequate or in patients with a long-term course. The present case is a 68-year-old woman who underwent myotomy of the lower esophageal sphincter 40 years ago, but recently reported difficulty in swallowing. Dilatation of the thoracic esophagus and stenosis of the abdominal esophagus were identified by examination, and the patient was diagnosed with recurrence of achalasia. After percutaneous endoscopic gastrostomy was performed to recover nutritional status, thoracoscopic esophagectomy was carried out. The patient'spost-operative course was uneventful and oral intake was enabled. At the time of writing, there has been no re-recurrence. There is no standard therapy for post-operative recurrence of achalasia. We believe that thoracoscopic esophagectomy for the recurrence of achalasia is a safe and minimally invasive alternative to conventional surgery.
Keywords
食道アカラシア (achalasia)
再手術 (reoperation)
食道亜全摘 (esophagectomy)
Note
症例報告(Case Reports)
Publication Title
Journal of Okayama Medical Association
Published Date
2017-04-03
Volume
volume129
Issue
issue1
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
41
End Page
44
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
OAI-PMH Set
岡山大学
language
日本語
Copyright Holders
Copyright (c) 2017 岡山医学会
File Version
publisher
Refereed
True
DOI
NAID
Eprints Journal Name
joma