Acute Airway Obstruction in a Patient with Achalasia
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概要
- 論文の詳細を見る
Megaesophagus resulting from achalasia is a rare but serious cause of acute airway obstruction. We treated achalasia in a 52-year-old woman with acute respiratory distress and stridor. Chest X-ray and endoscopy showed a marked dilatation of the cervical esophagus with a large amount of undigested food. Emergency suction of the food through a nasogastric tube led to decompression of the esophagus and the immediate relief of respiratory symptoms. These findings suggest a dysfunction of the upper esophageal sphincter as a possible mechanism. As this exceptional complication of achalasia is fatal, a wider appreciation is required.
著者
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Matsui Masashi
Department Of Hematology And Oncology Graduate School Of Medicine Kyoto University
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Chiba Tsutomu
Deparment Of Gastroenterology And Hepatology Kyoto University Graduate School Of Medicine
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Watanabe Norihiko
Department Of Allergy And Clinical Immunology Chiba University Hospital
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Ikeda Kazuki
Department Of Gastroenterology Kyoto University Hospital Kyoto University Graduate School Of Medicin
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Sawada Kazuya
Department Of Chemistry For Materials Faculty Of Engineering Mie University
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Kawanami Chiharu
Department of Gastroenterogy and Hepatology, Graduate School of Medicine, Kyoto University, Japan
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Konda Yoshitaka
Department of Gastroenterogy and Hepatology, Graduate School of Medicine, Kyoto University, Japan
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Sawada Kazuya
Department of Gastroenterogy and Hepatology, Graduate School of Medicine, Kyoto University, Japan
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