A CASE OF SEVERE ESOPHAGEAL STRICTURE AND MULTIPLE GASTRIC ULCERS WITH HABITUAL INGESTION OF HOT RICE GRUEL

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  • 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ようの１例

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Abstract

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.

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