• Title/Summary/Keyword: 식도 협착

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Congenital Esophageal Stenosis due to Tracheobronchial Remnants (기관기관지 잔유물로 인한 선천성 식도 협착증 -수술치험 1례-)

  • 조은희
    • Journal of Chest Surgery
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    • v.28 no.10
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    • pp.939-941
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    • 1995
  • Congenital esophageal stenosis due to tracheobronchial remnants is one of main forms of congenital esophageal stenosis.A 19-month-old male was presented an appearence of underdevelopment and mild dehydration state due to persistent vomiting since 5 months after his birth. Esophagogram revealed an abrupt narrowing of lower esophagus with dilatation above it. The operation method was aesection of esohageal stenosis and end to end anastomosis through left seventh thoracotomy. The postoperative course was uneventful.

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Surgical managements of tracheal cancer invasion (암 침윤 기관협착에 대한 외과적 치료)

  • 박재길;전해명;전진영
    • Korean Journal of Bronchoesophagology
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    • v.8 no.1
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    • pp.50-56
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    • 2002
  • Advanced or recurrent thyroid cancer, and metastatic paratracheal lymph nodes may directly invade the trachea and lead to tracheal stenosis. In these cases the stenosis is not circumferential and it would be possible to reconstruct the trachea after partial resection of the stenotic trachea. We experienced five cases of tracheal reconstruction after partial resection of the tracheal wall in four Patients of advanced thyroid cancer, and in one Patient of malignant paratracheal lymphadenopathy.

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Percutaneous Transgastric Stent Placement for Malignant Gastroduodenal Obstruction (악성 위십이지장 협착 환자에서의 경피적 위 경유 스텐트 설치)

  • Bumsang Cho;Gyoo-Sik Jung;Jong Hyouk Yun
    • Journal of the Korean Society of Radiology
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    • v.81 no.5
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    • pp.1175-1183
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    • 2020
  • Purpose To evaluate the technical feasibility and clinical efficacy of percutaneous transgastric stent placement after the failure of treatment attempt with the transoral approach in malignant gastroduodenal obstruction patients. Materials and Methods From October 2008 to April 2016, nine patients (M:F = 4:5; mean age = 66 years) with malignant gastroduodenal obstruction underwent stent placement via a gastrostomy tract, which was attributed to the failure of the transoral approach. The primary etiologies of the obstruction were pancreatic (n = 5), gastric (n = 2), and metastatic (n = 2) cancers. Through percutaneous gastrostomy, dual stents (inner bare metal and outer polytetrafluoroethylene-covered) were deployed at the obstruction site. The technical and clinical success rates, as well as complications were evaluated during the follow-up period. Results Stents were successfully inserted in eight patients (88%). We failed to insert stent in one patient due to the presence of a tight obstruction. After stent placement, symptoms improved in seven patients. Gastrostomy tube was removed 9 to 20 days (mean = 12 days) after the stent insertion. During the mean follow-up of 136 days (range, 3-387 days), one patient developed a recurrent symptom due to tumor overgrowth. However, there were no other major complications associated with the procedure. Conclusion Percutaneous transgastric stent placement appeared to be technically feasible and clinically effective in patients who underwent a failed transoral approach.

A Case of Gold Ring Lodged in Esophagus for 2 Months (2개월간 식도에 체류하였던 백일 금반지 1례)

  • 김중환;오경균;정완교;이상기;김정배;길동석;서정하
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.6.1-6
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    • 1983
  • Foreign bodies in esophagus occur unexpectedly in environment, and in most cases they get removed without delay. However, because of patron's ignorance, patient's age and lack of physician's eagerness in examination, the possible presence of the foreign body is overlooked. Recently the authors had experienced a case (5 months aged male infant) of the foreign body which had been lodged at a level of the second esophageal constriction portion for 2 months.

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A Case of Traumatic Laryngeal Stenosis (외상성 후두 협착 치험례)

  • 강연섭;정재봉;변우현;조윤태;박해수
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.9.2-9
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    • 1981
  • Now we are encountering with a growing number of severe head and neck injuries owing to automobile accidents, violence, and industrial injuries etc. In these circumstances, emergency tracheostomy and neurosurgical treatment are frequently necessary. When cervical trauma was ignored at initial stage, significant complications and sequelae may follow. So it deserves attention that meticulous and thoughtful treatments should be given to the cervical injuries as well as head injuries. We have recently experienced a case of laryngeal stenosis resulted from head and neck trauma. The patient was a 20-year-old male who underwent craniectomy and tracheostomy at another hospital about one and a half years prior to admission. With multistaged operations, we were able to re-establish an adequate natural air way.

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Direct Closure of Post-Incubation Tracheoesophageal Fistulas, -Report of 3 Cases- (기관내 삽관 후 발생한 기관식도루의 직접 봉합에 의한 수술적 치료 -3례 보고-)

  • Gang, Jong-Ryeol;Lee, Hong-Seop;Kim, Chang-Ho
    • Journal of Chest Surgery
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    • v.29 no.9
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    • pp.1045-1049
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    • 1996
  • Post-intubation tracheoesophageal fistula is rare, and its management causes a serious problems to surgeons. We have experienced 4 cases in 3 patients. Simple ditcision and closure of the fistulas were done by trans-cervical approach after weaning of ventilator. The tracheal defect was closed by simple suture, and the esophageal defect was closed in two layers before a viable muscle flap was interposed between the two suture lines in order to prevent recurrence. There was one delayed tracheal stenosls and one recurrent fistula, and these complications were also managed success ully.

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A Case of Total Pharyngo-laryngo-esophagogastrectomy and Colon Transposition in a Patient with Esophageal Cancer following Partial Esophagectomy and Gastic Pull-up due to Esophageal Stricture (식도협착으로 식도부분절제술과 위간치술 후 발생한 식도암에서 시행한 전인두후두식도위적출술 및 대장치환술 치험 1예)

  • 왕수건;손봉형;이병주;이형렬
    • Korean Journal of Bronchoesophagology
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    • v.9 no.2
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    • pp.69-73
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    • 2003
  • Various flaps are using for reconstruction of esophageal defect. The choice of reconstruction is depended to the oncologic needs of the situation. If the entire esophagus or significant part of the thoracic esophagus is involved by tumor, then total esophagectomy and gastric pull-up or colon transposition is indicated. But for most hypopharyngeal tumors, laryngopharyngeal tumors, and cervical esophageal tumors, segmental resection of these area and replacement with a jejunal fee or forearm free flap has become the standard technique. The authors have experienced a case of total pharyngo-laryngo-esophago-gastrectomy and colon transposition in a patient of esophageal cancer following partial esophagectomy and gastic pull-up due to corrosive esophageal stricture. We report this case with brief review of the literatures.

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A Case of Foreign Body in the Nasopharynx (비인강 이물 1례)

  • 박승훈;김미자;윤희병;홍정애;강주원
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.11.3-11
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    • 1981
  • There are many reported cases about foreign bodies in air and food passages in children, but not common about the nasopharynx. It is well known that the most of the foreign bodies in food passages are lodged at the first narrowing of the esophagus and this can be a cause of overlooking the foreign bodies in the nasopharynx. The authors experienced recently a case of foreign body, a coin, lodged in the nasopharynx in a 6-month-old male baby and emphasized the necessity of diagnostic radiological examination must be included the nasopharynx when suspected foreign bodies, especially in children so that it could not be overlooked.

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