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題 名 | Carcinoma of the Gastric Cardia with Secondary Achalasia--Manometric and Clinical Features=胃賁門癌及續發性食道弛張症--食道壓力及臨床表徵 |
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作 者 | 徐中平; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 18:2 1985.06[民74.06] |
頁 次 | 頁198-202 |
分類號 | 416.241 |
關鍵詞 | 胃賁門癌; 續發性食道弛張症; 食道壓力; |
語 文 | 英文(English) |
中文摘要 | 胃賁門癌及原發性食道弛張症在臨床上及放射學檢查上有許多累同的地方。典型的原發性食道弛張症之食道攝影檢查可發現食道擴張及缺乏蠕動的現象。且在食道末端接近胃賁門處會呈現平穩及漸進性之狹窄,形似鷹嘴。在做食道壓力測量時,則可發現食道缺乏蠕動、食道下擴約肌壓力增高及鬆弛不全的現象。 在偶發的情況下,胃賁門癌亦可導致和原發性食道弛張症相似的食道壓力變化。此即是續發性食道弛張症。一般推測這是由於癌細胞侵犯到食道下擴約肌所導致的結果。 在此我們報告一個胃賁門癌合併續發性食道弛張症的病例。並討論其食道壓力變化及臨床表徵,以及我們對鑑別診斷這類病例所採取之步驟。 |
英文摘要 | Carcinoma of the gastric cardia and primary idiopathic achalasia have many common features both clinically and radiologically. Radiologic findings in a classical case of achalasia may show dilatation of the esophageal lumen, smoothly tapered narrowing of the distal esophagus, and absence of peristaltic waves in the esophageal body. The typical manometric findings should demonstrate aperistalsis of the esophageal body, incomplete relaxation of the lower esophageal sphincter in response to swallowing, and elevation of lower esophageal sphincter pressure (LESP). Carcinoma of the gastric cardia causing obstruction of the esophageal outlet, with invasion or infiltration of the lower esophageal sphincter by the malignant cells, may result in manometric pictures, sometimes but infrequently, mimicking idopathic achalasia. A case of carcinoma of the gastric cardia is presented with manometric findings similar to achalasia, and the approach used to manage this kind of patients is described. |
本系統中英文摘要資訊取自各篇刊載內容。