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食管贲门失驰缓症病情严重时贲门痉挛狭窄,食管下段,甚至中下段管腔扩张,食物潴留,并发慢性食管炎,内镜通过贲门困难。笔者应用双内镜扩张治疗食管贲门失驰缓症取得满意疗效,报告如下: 任××,34岁,男性,工人,渐进性咽下困难,食物返流,下胸骨后胀满不适十余年,初期间歇发作,后期转为持续性,近两年为著,伴体重渐减轻,体质较弱。钡餐造影示食管中下段显著扩张,近贲门约3cm段渐狭窄呈漏斗形,但粘膜缘光滑,钡剂不能通过贲门而潴留于食管内,钡剂灌满食管并跳跃加力后方见少量钡剂断续流入胃腔,贲门仅能短时驰缓,最宽4mm。内镜下食管中下段粘膜弥漫充血,管腔高度扩张,有大量食物潴留,贲门渐狭窄,贲门痉挛紧缩。缓慢强力方通过入胃腔,确诊食管贲门失驰缓症。
Esophageal cardia dementia Severe cardia spasm stenosis, lower esophagus, and even the lower lumen dilatation, food retention, complicated by chronic esophagitis, endoscopy through the cardia difficult. The author of double endoscopic dilatation of esophageal and cardial delaying to obtain satisfactory results, the report is as follows: Ren × ×, 34 years old, male, workers, progressive dysphagia, food reflux, lower thoracodorsal full discomfort more than ten years , The initial intermittent episodes, the latter turned to persistent, for the past two years, accompanied by weight gradually reduced, weak constitution. Barium meal imaging showed significant expansion of the lower esophagus, near the cardia about 3cm segment narrowed funnel-shaped, but mucosal margin smooth, barium can not pass through the cardia and retention in the esophagus, barium filled esophageal and hopped after the force see a small amount of barium Intermittent inflow into the stomach, cardia can only slow Chi, the widest 4mm. Endoscopic esophageal mucosa in the lower part of the diffuse congestion, lumen height expansion, a large number of food retention, cardia narrowing, cardiac spasm tightening. Slow strong side through into the stomach, diagnosed esophageal cardia deafness.