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食道·胃吻合術後 消化性 食道狹穿이 合倂된 異所性 軟骨環에 依한 先天性 食道狹穿症 1例報告 A Case of Congenital Esophageal Stricture due to Ectopic Tracheal Cartilaginous Ring Complicated by Peptic Esophageal Stricture after Esophagogastrostmy

대한흉부외과학회지 1975년 8권 1호 p.57 ~ 60
柳會性, 李浩一,
소속 상세정보
柳會性 (  ) 
國立醫療院 胸部外科

李浩一 (  ) 
國立醫療院 胸部外科

Abstract


Congenital esophageal strieture is infrequent disease entity and usually occurs in the midesophagus, Tracheobronchial remnants in the esophagus causing esophageal stricture are extremely rare, and only few cases were reported in the literature.
During last 17 years the authors experienced a case of congenital esophageal stricture due to octopic tracheal cartilaginous ring who was complicated by peptic esophageal stricture 11 years after esophagogastrostomy.
During thoracotomy we thought that the patient had untal achalasia of the esophagus, and culdn´t perform cardiomyotomy because of firm ring encircling the lower esophagus just above the hiatus. The patient was operated on lower esophagectomy including cardia and esophagogastrostomy at his age of two and a half years.
Postoperatively the patient did well for 11 years but later he developed intermittent regurgitation without substernal burning, and reoperated under the diagnosis of peptic esophageal stricturelower esophagectomy, proximal gastrectomy, esophagogastrostomy and Heineke-Mikulicz pylorou-plasty-with good operative result.

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