지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.6
- 수록면
- 383 - 387 (5page)
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초록· 키워드
오류제보하기
Purpose: Congenital esophageal stenosis (CES) is a rare cause of esophageal narrowing due to intrinsic esophageal wall abnormalities such as tracheobronchial remnants (TBR), web, and fibromuscular dysplasia (FMD). It is sometimes associated with esophageal artesia (EA).
Methods: The medical records of children, who underwent operation due to CES at the Asan Medical Center from Jan 1990 to Dec 2007, were retrospectively reviewed.
Results: Among 12 patients (M：F=6：6), 9 patients had TBR and 3 had FMD. The median age of operation was 25 months (7 mo∼6 years). Four patients underwent operation for esophageal atresia at neonate, one underwent operation for duodenal atresia and one for ventricular septal defect. Recurrent vomiting or dysphagia was developed at weaning period or introduction of solid foods. The lesions of stenosis were low-esophagus in 11 and mid-esophagus in 1. Segmental resection of lesion and end-to-end anastomosis of esophagus were completed successfully by means of laparotomy in 9 and thoracotomy in 3 (left in 1, right in 2). One patient treated with ballooning at first, suffered from mediastinitis due to esophageal perforation. Postoperative complications were anastomosis leakage in 2 and lung abscess in 1. Esophageal ballooning for anastomosis stricture was performed in 2 patients and an esophageal stent was needed in 1 patient. All patients are relieved from dysphagia and able to eat solid food.
Conclusion: CES is rare but should be considered for recurrent vomiting and dysphagia, especially for those who underwent operation for EA. Differential diagnosis from other causes such as gastro-esophageal reflux is essential and surgical treatment is treatment of choice.
Methods: The medical records of children, who underwent operation due to CES at the Asan Medical Center from Jan 1990 to Dec 2007, were retrospectively reviewed.
Results: Among 12 patients (M：F=6：6), 9 patients had TBR and 3 had FMD. The median age of operation was 25 months (7 mo∼6 years). Four patients underwent operation for esophageal atresia at neonate, one underwent operation for duodenal atresia and one for ventricular septal defect. Recurrent vomiting or dysphagia was developed at weaning period or introduction of solid foods. The lesions of stenosis were low-esophagus in 11 and mid-esophagus in 1. Segmental resection of lesion and end-to-end anastomosis of esophagus were completed successfully by means of laparotomy in 9 and thoracotomy in 3 (left in 1, right in 2). One patient treated with ballooning at first, suffered from mediastinitis due to esophageal perforation. Postoperative complications were anastomosis leakage in 2 and lung abscess in 1. Esophageal ballooning for anastomosis stricture was performed in 2 patients and an esophageal stent was needed in 1 patient. All patients are relieved from dysphagia and able to eat solid food.
Conclusion: CES is rare but should be considered for recurrent vomiting and dysphagia, especially for those who underwent operation for EA. Differential diagnosis from other causes such as gastro-esophageal reflux is essential and surgical treatment is treatment of choice.
목차
서론
방법
결과
고찰
REFERENCES
참고문헌 (21)
참고문헌 신청
1. [학술지(정기간행물)] - Nihoul-Fekete C / 1987 / Congenital esophageal stenosis / Pediatr Surg Int 2 : 86 ~ 92
2. [학술지(정기간행물)] - Myers NA / 1995 / Esophageal disorders associated with emesis in infants and children / Semin Pediatr Surg 4 : 166 ~ 175
3. [학술지(정기간행물)] - Neilson IR / 1991 / Distal congenital esophageal stenosis associated with esophageal atresia / J Pediatr Surg 26 : 478 ~ 481
4. [학술지(정기간행물)] - Ramesh JC / 2001 / Congenital esophageal stenosis: report of three cases, literature review, and a proposed classification / Pediatr Surg Int 17 : 188 ~ 192
5. [학술지(정기간행물)] - Choi YT / 1982 / Congenital esophageal stenosis: A case report / J Korean Surg Soc 24 : 351 ~ 354
2. [학술지(정기간행물)] - Myers NA / 1995 / Esophageal disorders associated with emesis in infants and children / Semin Pediatr Surg 4 : 166 ~ 175
3. [학술지(정기간행물)] - Neilson IR / 1991 / Distal congenital esophageal stenosis associated with esophageal atresia / J Pediatr Surg 26 : 478 ~ 481
4. [학술지(정기간행물)] - Ramesh JC / 2001 / Congenital esophageal stenosis: report of three cases, literature review, and a proposed classification / Pediatr Surg Int 17 : 188 ~ 192
5. [학술지(정기간행물)] - Choi YT / 1982 / Congenital esophageal stenosis: A case report / J Korean Surg Soc 24 : 351 ~ 354
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