关键词: Epiphrenic diverticulum Parapneumonic effusion Peroral endoscopic myotomy Tension pneumothorax

来  源:   DOI:10.5946/ce.2020.093   PDF(Pubmed)

Abstract:
Esophageal diverticula (ED) represents a group of rare conditions that warrant intervention when they are symptomatic or coexisting with pulmonary disorders. Few literature reviews have described this patient entity or discussed the postoperative outcome. Therefore, I present the case of a 59-year-old woman with symptoms of dysphagia who was significantly underweight, which was conducive to the diagnosis of symptomatic ED. Because she was a poor candidate for surgery, she received a diverticular peroral endoscopic myotomy. She subsequently developed parapneumonic effusion and tension pneumothorax after the procedure. She was finally discharged on postoperative day 23. I also performed the first known comprehensive literature review of 34 published cases (including my patient) from PubMed and have addressed the demography, intervention, and prognosis for symptomatic ED after the procedure. Prompt treatment as well as prognostic measurement are crucial to successful outcomes.
摘要:
食管憩室(ED)代表一组罕见的疾病,当它们有症状或与肺部疾病共存时,需要进行干预。很少有文献综述描述该患者实体或讨论术后结果。因此,我介绍了一个59岁的女性,有吞咽困难的症状,体重明显不足,有利于诊断有症状的ED。因为她是一个糟糕的手术候选人,她接受了憩室经口内镜下肌切开术.手术后,她随后出现了肺炎旁积液和张力性气胸。她终于在术后第23天出院。我还对PubMed发表的34例(包括我的患者)进行了首次已知的综合文献综述,并解决了人口统计学问题。干预,术后症状性ED的预后。及时的治疗以及预后测量对于成功的结果至关重要。
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