Abstract |
A 56-year-old woman underwent a laparoscopic Heller-Dor operation for esophageal achalasia in June 2002. As dysphagia became exacerbated and the oral intake became extremely poor, an esophagectomy was thus considered to be indicated. In September 2005, a transhiatal esophagectomy was performed, and the esophagus was reconstructed using a gastric tube through the posterior mediastinum. The patient developed pneumonia postoperatively, but responded to conservative therapy and was discharged in good health 30 days after surgery. A histopathological analysis demonstrated degeneration and a loss of gangliocytes throughout the esophagus as well as the presence of seven intramucosal cancers. The main cause of dysphagia was due to a marked flexion of the upper esophagus. Even though we identified a precancerous state, we believe that surgery was an appropriate option in this case.
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Authors | Naruo Kawasaki, Yutaka Suzuki, Nobuo Omura, Kazuto Tsuboi, Akira Matsumoto, Hideyuki Kashiwagi, Katsuhiko Yanaga |
Journal | Surgery today
(Surg Today)
Vol. 37
Issue 10
Pg. 897-900
( 2007)
ISSN: 0941-1291 [Print] Japan |
PMID | 17879043
(Publication Type: Case Reports, Journal Article)
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Topics |
- Deglutition Disorders
(etiology)
- Esophageal Achalasia
(surgery)
- Esophageal Neoplasms
(complications, surgery)
- Esophagectomy
- Female
- Humans
- Middle Aged
- Recurrence
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