熱い粥を食習慣とする成人女性に認められた高度食道狭窄および多発胃潰瘍の1例 A CASE OF SEVERE ESOPHAGEAL STRICTURE AND MULTIPLE GASTRIC ULCERS WITH HABITUAL INGESTION OF HOT RICE GRUEL

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症例は67歳の女性.主訴は食欲低下・嘔気・吐血.内視鏡検査にて,上切歯列より25cm遠位の食道粘膜が全周性に脱落し,高度の狭窄を伴っていた.また,胃体中部に多発する潰瘍が認められた.食道プジーを行いながら複数回生検を施行したが,異型細胞は認められなかった.診断に苦慮したが,家族を含めた詳細な問診により「熱い粥を冷まさずに食べる生活習慣」がある事が判り,反復性の熱傷が本症例の病態と考えられた.

A 67-year-old female had noticed loss of appetite and nausea but refused treatment. She visited a local hospital due to hematemesis, and endoscopy showed esophageal stricture and multiple gastric ulcers. She was referred to our hospital and admitted. Endoscopy showed detachment of the entire circumference of the esophageal mucosa accompanied by severe stenosis in the area lower than 25 cm from the incisors, as well as multiple ulcers in the middle gastric body. Biopsy revealed only granulomatous tissue and fibrous tissue, but no atypical cells at the esophageal or gastric lesions. The cause of esophagitis and gastric ulcers was unclear, and the diagnosis was initially difficult. However, detailed inquiry of the patient and family revealed that she has the habit of eating hot rice gruel. Esophageal balloon bouginage was applied repeatedly. At present, 3 years after onset, slight stenosis is observed, but oral intake can be done adequately. After prohibition of the intake of hot rice gruel, no recurrence has been observed. These findings suggest that repeated burns may have induced those pathologic conditions in this patient.

収録刊行物

  • 日本消化器内視鏡学会雑誌 = Gastroenterological endoscopy

    日本消化器内視鏡学会雑誌 = Gastroenterological endoscopy 46(8), 1472-1477, 2004-08-20

    一般社団法人 日本消化器内視鏡学会

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  • NII論文ID(NAID)
    10013672493
  • NII書誌ID(NCID)
    AN00192102
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    03871207
  • データ提供元
    CJP書誌  J-STAGE 
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