胃空腸吻合・空腸ろうよりブジーを施行し経口摂取が可能となった広範囲食道胃はん痕性狭窄の１例

• 瓜園 泰之

  奈良県立医科大学救急医学

• 畑 倫明

  奈良県立医科大学救急医学

• 奥地 一夫

  奈良県立医科大学救急医学

• 中島 祥介

  奈良県立医科大学消化器総合外科

書誌事項

タイトル別名

• A Case of Corrosive Strictures in the Esophagus and Stomach Successfully Treated With Bougie Dilatation During a Jejunostomy and a Gastrojejunostomy

抄録

The ingestion of caustic chemical agents produces a wide range of injuries, from the esophagus to the stomach. A 68-year-old woman mistakenly ingested a chloride agent by mistake and was admitted to hospital because of difficulty in swallowing. An upper GI showed a stricture of the upper and lower esophagus and a stenosis of the pylorus and gastric antrum. The patient was conservatively treated several times using dilated bougies, but severe stenosis of the stomach was confirmed by a gastroendoscopy, so a gastro-jejunostomy and a jejunostomy were performed. Since the guidewire for the bougie used to dilate the esophageal stricture was difficult to insert orally, the guide wire was inserted via the jejunal fistula. After several treatments via this fistula, the esophageal stricture improved and the patient was once again able to consume food orally.

収録刊行物

• 日本腹部救急医学会雑誌

  日本腹部救急医学会雑誌 25 (7), 963-967, 2005

  日本腹部救急医学会

キーワード

• 腐食性食道狭窄

詳細情報

• CRID: 1390282679711015808
• NII論文ID: 130004086973
• DOI: 10.11231/jaem1993.25.963
• ISSN: 18824781
• ISSN: 13402242
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可