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首页> 外文期刊>Acta gastro-enterologica Belgica >Pneumomediastinum as a complication of esophageal intramural pseudodiver-ticulosis
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Pneumomediastinum as a complication of esophageal intramural pseudodiver-ticulosis

机译：Pneumomediaptinum作为食管障碍症的并发症indurediver-ticulosis

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摘要

Dysphagia is a common complaint of patients seen at the outpatient clinic as well as at the emergency room. We report esophageal intramural pseudodiverticulosis (EIPD) as a cause of dysphagia that is less known by physicians and it is rarely described in the literature. EEPD is characterized by multiple, segmental or diffuse, flask-like outpouchings in the esophageal wall corresponding to dilated and inflamed excretory ducts of the submucosal esophageal glands. The underlying etiology remains unclear. Esophageal strictures, esophageal candidiasis and gastroesophageal reflux disease are often associated. The diagnosis can be made by upper gastrointestinal endoscopy, but barium esophagography is the modality of choice. Complications of EIPD are rare and include broncho-esophageal and esophagomediastinal fistula, pleural and pericardial effusion, abscesses, gastrointestinal bleeding from a web-like stenosis or esophageal perforation with pneumomediastinum. The treatment for EIPD should be directed towards treating underlying associated conditions and relieving symptoms rather than the pseudodiverticulosis itself. (Acta gastroenterol. belg., 2018, 81, 433-435).
机译：吞咽困难是在门诊诊所以及急诊室内看到的患者的常见投诉。我们向食管障碍术后癫痫发作（EIPD）作为医生较少众所周知的吞咽症的原因，并且在文献中很少描述。 EEPD的特征在于在食管壁中的多个，节段形或漫射，烧瓶状外出，对应于粘膜食管腺体的扩张和发炎的排泄管道。潜在的病因仍然不清楚。食管狭窄，食管念珠菌病和胃食管反流疾病通常是相关的。诊断可以通过上胃肠内窥镜检查，但是钡食管是选择的模式。 EIPD的并发症是罕见的，包括支气管 - 食管和食道瘘，胸腔和心包积液，脓肿，胃肠道，从腹腔狭窄或食管穿孔与肺炎。 EIPD的治疗应旨在治疗潜在的相关病症和缓解症状，而不是伪分泌本身。 （Acta Gastroenterol。Belg。，2018,81,433-435）。

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