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KMID : 0364019680010010053
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Korean Journal of Thoracic and Cardiovascular Surgery
1968 Volume.1 No. 1 p.53 ~ p.59
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Surgical Treatment of Achalasia of the Esophagus
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李浩一/Lee, H.I.
朱宅昭/柳英善/姜重遠/Choo, T.S./Yoo, Y.S./Kang, J.W.
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Abstract
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Achalasia is a functional disorder of a short segment of the lower esophagus showing obstruction of the esophagogastric junction. Dysphagia, regurgitation and weight loss are outstanding features, however, complicated pulmonary troubles aspiration pneumonitis, bronchiectasis, lung abscess etc.are some times more apparent than the disease entity in children though achalasia is rarely encountered in children.
During the period of January, 1961, to May, 1968, the authors experienced 9 cases of achalasia of the esophagus in Chest Surgery Department, N.M.C.
1. Seven of nine were male, and four were under 5 years of age.
2. So-called symptoms triad noted in almost every case, and 3 of 4 children showed recurrent attacks of pneumonitis.
3. Chest film showed widened superior mediastinum by dilated esophagus n 6 cases, and pulmonary infiltrations in 3 cases of children.
4. Preoperative diagnosis were achalasia, esopbageal stricture by rodent-tidal ingestion and suggestive esophageal cancer in 7 cases, one case and remaining one case, respectively.
5. Modified Heller procedure was performed in all cases with definite diagnosis of achalasia at operation table in misaiagnosed 2 cases.
6. Immediate postoperative complications were 2 cases of wound-infection and one case of atelectasis, and no operative mortality encountered.
7. Seven of nine showed excellent result of operation, and good in one case. Remaining one case failled relieving obstruction, and underwent interposition of ileocolonic segment with excellent result.
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