新医学2024，Vol.55Issue(1)：73-77,5.DOI:10.3969/j.issn.0253-9802.2024.01.014
食管胃底静脉曲张破裂出血经硬化剂治疗后食管狭窄合并贲门癌一例
Esophageal stricture complicated with cardia cancer after endoscopic injection sclerotherapy for esophago-gas-tric fundal varices rupture bleeding:a case report
江素鑫 1王怀宇 2蒲猛 2刘承利 2韩勇2
作者信息
- 1. 110122 沈阳,中国医科大学研究生院||100142 北京,空军特色医学中心
- 2. 100142 北京,空军特色医学中心
- 折叠
摘要
Abstract
Cardia cancer patients complicated with cirrhosis,hypersplenism,and portal hypertension constantly have contraindications to systemic drugs such as chemotherapy due to poor liver function,and surgery has become the preferred treatment for patients with such cardia tumors.Evaluation of surgical indications,optimization of surgical regimen,and perioperative management strategy are key factors for safe and successful implementation of these surgeries.Here,we reported a 65-year-old male patient undergoing laparoscopic splenectomy plus pericardiac vascularization combined with radical resection of cardiac carcinoma.Satisfactory clinical efficacy was obtained.He could eat semi-liquid diet at 2 weeks after surgery.During over 1-year follow-up,the patient was generally in good condition,could eat normal diet,and the white blood cell,red blood cell and platelet were restored normal.Liver function was normal,and no thrombosis was seen on portal ultrasound.This case prompts that for cardia cancer patients complicated with cirrhosis,hypersplenism,esophago-gas-tric fundal varices,esophageal stricture,this surgical regimen provides novel therapeutic ideas,which can be utilized as a safe and effective treatment option.关键词
肝硬化/脾功能亢进/食管狭窄/贲门癌/食管胃底静脉曲张Key words
Cirrhosis/Hypersplenism/Esophageal stricture/Cardia cancer/Eesophago-gas-tric fundal varices引用本文复制引用
江素鑫,王怀宇,蒲猛,刘承利,韩勇..食管胃底静脉曲张破裂出血经硬化剂治疗后食管狭窄合并贲门癌一例[J].新医学,2024,55(1):73-77,5.
