特殊な食道再建法により多様な胸部症状を呈した1例

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  • A patient who developed various chest symptoms caused by atypical esophageal reconstruction

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[Case] A 72-year-old female. [Chief complaints] Left back and chest pains and heartburn. [Previous diseases] Received left thoracolaparotomy for esophageal cancer in China at the age of 62. [Present diseases] The patient had complaints after taking meals for one year. CT revealed a reconstructed gastric tube containing residues at the dorsal region of the left thoracic cavity. Bending of the gastric tube at the anastomotic site and stenosis that had been observed by contrast study at the first visit showed some improvement after 4 months. The erosion around the anastomotic site and stenosis with a flat bulge observed by endoscopy at the first visit became less severe after 4 months.<br> [Conclusion] This was a case of anastomotic stenosis and obstruction of gastric tube discharge that developed 9 years after left thoracolaparotomy for esophagogastric anastomosis by the left intrathoracic path for esophageal cancer.

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