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| 식도 Achalasia 1례 증례보고 |
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이행훈 김경희 정영숙 김현식 |
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전주예수병원 가정의학과학교실 전주예수병원 일반외과학교실 |
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| Abstract |
Achalasia is a disease of unkown etiology characterized by absence of peristalsis in the body of esophagus and relaxation failure of the inferior esophageal sphincter in response to swallowing.
Modified Heller's esophagocardiomyotomy is the procedure of choice for esophageal achalasia, and also there are many additional procedures to prevent reflux esophagitis.
This paper presents a case of esophageal achalasia and a brief review of pertinent literature as following:
A 50-year-old female patient was admitted due to swallowing difficulty and indigestion. Physical examination on admission revealed chronically ill looking and emaciated state without any other specific sign.
Esophagogram showed smoothly-tapered luminal dilatation with narrowing of lower esophagus (rat tail appearance), but without definite mucosal destruction.
Esophagocardiomyotomy was performed through thoracoabdominal incision. Operative outcome was successful. |
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