2015年8月
Esophageal intramural pseudodiverticulosis of the residual esophagus after esophagectomy for esophageal cancer
WORLD JOURNAL OF GASTROENTEROLOGY
- 巻
- 21
- 号
- 30
- 開始ページ
- 9223
- 終了ページ
- 9227
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.3748/wjg.v21.i30.9223
- 出版者・発行元
- BAISHIDENG PUBLISHING GROUP INC
A 91-year-old man was referred to our hospital with intermittent dysphagia. He had undergone esophagectomy for esophageal cancer (T3N2M0 Stage III) 11 years earlier. Endoscopic examination revealed an anastomotic stricture; signs of inflammation, including redness, erosion, edema, bleeding, friability, and exudate with white plaques; and multiple depressions in the residual esophagus. Radiographical examination revealed numerous fine, gastrografinfilled projections and an anastomotic stricture. Biopsy specimens from the area of the anastomotic stricture revealed inflammatory changes without signs of malignancy. Candida glabrata was detected with a culture test of the biopsy specimens. The stricture was diagnosed as a benign stricture that was caused by esophageal intramural pseudodiverticulosis. Accordingly, endoscopic balloon dilatation was performed and antifungal therapy was started in the hospital. Seven weeks later, endoscopic examination revealed improvement in the mucosal inflammation; only the pseudodiverticulosis remained. Consequently, the patient was discharged. At the latest follow-up, the patient was symptomfree and the pseudodiverticulosis remained in the residual esophagus without any signs of stricture or inflammation.
- リンク情報
- ID情報
-
- DOI : 10.3748/wjg.v21.i30.9223
- ISSN : 1007-9327
- eISSN : 2219-2840
- PubMed ID : 26290650
- Web of Science ID : WOS:000362233700024