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以Sugiura手術及食道胃重建處理食道胃靜脈瘤合併狹窄

Management of Esophagogastric Varices and Stricture by Sugiura Procedure and Esophago-gastric Bypass

摘要


食道狹窄為罹患食道靜脈瘤病患接受內視鏡結紮術後的可能合併症之一。這種合併症雖不常見,但卻十分棘手難治。在此我們報告一位嚴重肝硬化合併門脈高壓病人接受食道靜脈瘤結紮術後造成食道狹窄的病患,在經多次食道擴張術失敗後,接受Sugiura手術(包括脾臟切除術,食道胃靜脈結紮術及食道胃黏膜截斷術)以及食道胃繞道術解決病人食道出血及狹窄的問題。據文獻回顧本病人為首位接受此手術的病人。

並列摘要


Esophageal stricture is an uncommon but troublesome complication of endoscopic ligation of esophageal varices. We present a case of severe esophageal stricture after esophageal variceal ligation. The patient was successfully treated by the Sugiura procedure (splenectomy, esogastric devascularization and esophageal transection) and cervical esophago-gastric bypass after repeated dilatation attempts had failed.

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