• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제4권2호
• /
• pp.218-223
• /
• 2001

저자들은 신경학적 증상을 주소로 내원한 환아에서 분문 무이완증을 진단하고 풍선확장술로 치험하였기에 문헌 고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
• /
• 제35권2호
• /
• pp.157-160
• /
• 2002

식도이완불능증 환자의 수술은 내시경을 이용한 최소 절개술로써 개복술에 상응하는 성적을 거두고 있다. 최근에는 복강경을 이용한 식도근절개술과 위저부성형술을 통해 기존에 시행되던 흉강경을 사용한 식도근 절개술보다 환자의 만족도에서 좋은 결과를 보이는 경우가 보고된 바 있다. 이 증례에서는 풍선확장술로써 치유되지 않는 식도이완불능증을 가지고 있는 15세의 남자 환자에서 5개의 작은 절개창을 통한 복부내시경을 이용하여 식도근절제술과 위저부성형술을 시행하여 증상을 현저히 개선하고 방사선적, 임상적 객관적 치료효과를 성공적으로 치험하였다.

• Journal of Chest Surgery
• /
• 제26권10호
• /
• pp.815-820
• /
• 1993

We experienced a case of esophageal leiomyoma combined with achalasia that is very rare. Patient had suffered from severe dysphagia and postprandial vomiting and diagnosis was accomplished by esophagography, esophagoscopy, chest CT, and esophageal motility test. The operative treatment was done through left lateral thoracotomy by enucleation of the submucosal tumor and esophagomyotomy. By histopathological findings, the diagnosis of leiomyoma was confirmed and LES biopsy revealed absence of the ganglion cells of myenteric and Auerbach`s plexus. Symptoms of the patient were completely relieved and postoperative course was uneventful.

• 대한수의학회지
• /
• 제46권1호
• /
• pp.57-61
• /
• 2006

A 3-month-old, 2.8 kg, female Cocker spaniel was presented with chronic history of dysphagia since weaning. Video fluoroscopic examination revealed swallowing problems in the upper esophageal sphincters. It was diagnosed as cricopharyngeal achalasia. Cricopharyngeal and thyropharyngeal myectomy was performed. One day after surgical management, normal swallowing movement was observed in the video fluoroscopic examination of the dog. There was no evidence of recurrence for 15 months.

• Journal of Chest Surgery
• /
• 제13권4호
• /
• pp.470-474
• /
• 1980

Achalasia is a neurogenic esophageal disorder, characterized by incomplete relaxation of the gastroesophageal sphincter in response to deglutition and absence of peristalsis from the body of the esophaugs. Because there is no known method by which esophageal peristalsis can be restored, therapy is directed toward the relief of dital esophageal obstruction. During the period of June 1965 to September 1980, 13 cases of achalasia were operated at the Department of Thoracic SUrgery, Seoul Natonal University Hospital. 1. Among 13 cases, 5 were male and 8 were female. 2. Esophagomyotomy was performed in 12 cases, and 1 case was treated with transverse suture of lower esophagus after longitudinal incision. 3. There was no operative mortality, but 2 cases subsequently underwent esophagogastrostomy after esophagomyotomy. 4. One of 13 cases was combined with mongolism.

• 한국임상수의학회지
• /
• 제23권3호
• /
• pp.371-374
• /
• 2006

A 4-month-old, intact male, Tosa with a history of a regurgitation, vomiting, and weight loss for three weeks was presented to Animal Medical Center, Chonbuk National University. In Serial plain radiographs, a severely distended stomach was seen and ultrasonogram revealed a nonfunctional pylorus with normal layer comparable with an obstruction of pyloric region by pyloric achalasia. An esophagram and endoscopy revealed normal peristalsis with failure of the lower esophageal sphincter to open, supporting the diagnosis of esophageal achalasia. Megaesophagus was observed on reradiograph and esophagram 11 days later. The clinical signs and esophageal dilation were resolved without resorting to any treatment.

• Journal of Chest Surgery
• /
• 제22권5호
• /
• pp.811-815
• /
• 1989

Six cases of achalasia were treated by modified Hellers operation at the department of thoracic % cardiovascular surgery of Kosin medical college from April 1984 to July 1988. Among 6 cases, 4 were male and 2 were female. Preoperative main symptoms were dysphagia in 5 cases and regurgitation in 1 case, its duration was variable from 1.5 years to 40 years. Esophagocardiomyotomy was perfomed in all cases, and the results were excellent to good, but reoperation was needed in one case due to incomplete myotomy. One case of advanced achalasia was also experienced and the result was satisfactory. Antireflux procedures were not performed in all cases and there was no reflux esophagitis on follow-up study.

• 대한기관식도과학회:학술대회논문집
• /
• 대한기관식도과학회 1976년도 제10차 학술대회연제 순서 및 초록
• /
• pp.90.1-90
• /
• 1976

식도무이완증은 식도의 연동운동과 식도하 1/3의 이완장애로 인한 연하곤란이 특징인 질환이며, 그 원인은 확실하지 않으나 말초미주신경이나 미주신경의 dorsal motor nucleus에 원발병소가 있다고 주장된다. 저자는 최근 본원에서 식도 X-선검사, 식도경검사에서 식도무이완증으로 진단 받은 23세의 여자에서 mercury dilation으로 만족할만한 결과를 얻었기에 문헌적 고찰과 아울러 보고하는 바이다.

• 대한후두음성언어의학회지
• /
• 제28권1호
• /
• pp.43-47
• /
• 2017

Laryngopharyngeal reflux disease (LPRD) is common in laryngologic practice. In Korea, up to 1 out of every 5 patients who visit otorhinolaryngology clinic is supposed to have LPRD with symptoms and physical findings. Major symptoms of LPRD include hoarseness, cough, reflux symptom and mild dysphagia. Even though LPRD is common, its diagnosis may be difficult, because its symptoms are nonspecific and the laryngeal findings are not always associated with symptom severity. In Recent study, 66.4% of Patient who has LPRD also associated with esophageal motility disorders. Esophageal achalasia is a disease of unknown etiology characterized by an absence of peristalsis in the body of esophagus and nonrelaxing hypertension of the lower esophageal sphincter. Common cause is loss of ganglion cells in Auerbachs plexus. The classic triad of symptoms in achalasia includes dysphagia, regurgitation and weight loss. LPRD and esophageal achalasia have similar symptoms but have different treatment of choice. The Differentiation diagnosis of theses disease is important and should be established by history, radiologic examination and endoscopic examination. We recently assessed a 59-year-old female patient who complained of an epigastric pain, dysphagia and chronic cough. LPRD was initially diagnosed on Laryngoscopic examination and Reflux Symptom Index, but patient was not relieved of any symptoms after treatment of Proton Pump Inhibitor for 3 months. After high resolution manometry, esophageal achalasia was finally diagnosed. We report this case regarding the diagnosis and treatment with review of literatures because we have to think about esophageal motility disorders as a differential diagnosis in laryngology.

• Journal of Chest Surgery
• /
• 제16권4호
• /
• pp.559-562
• /
• 1983