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1. 経口内視鏡的筋層切開術（POEM）peroral endoscopic myotomy poem [show details]
… although full-thickness myotomy was associated with a shorter procedure time . In terms of length of myotomy, it is essential to achieve a 2 to 3 cm myotomy into the gastric cardia. It is customary to perform …
2. アカラシアに対する筋切開術surgical myotomy for achalasia [show details]
… megaesophagus, and the role of robotic surgery. An extended gastric myotomy, which is defined as a 3-cm myotomy incision onto the cardia of the stomach, is an important technical component for reducing recurrence …
3. アカラシアの治療の概要overview of the treatment of achalasia [show details]
… distally into the gastric cardia. A diathermic scalpel then is passed through the endoscope to sever the muscle of the muscularis propria in and around the LES. Unlike surgical myotomy, which often is combined …
4. アカラシアに対する空気圧式拡張術とボツリヌス毒素注入pneumatic dilation and botulinum toxin injection for achalasia [show details]
… failed surgical myotomy for achalasia or who have had symptomatic recurrence following surgical myotomy. The response to dilation in patients who have failed myotomy is not as good as… dilation, a thorough endoscopic examination is performed, with particular attention given to the cardia, where malignancy can simulate achalasia (called pseudoachalasia). A guidewire is then passed through …
5. 切除可能な食道胃接合部癌および胃噴門部腺癌の集学的アプローチmultimodality approaches to potentially resectable esophagogastric junction and gastric cardia adenocarcinomas [show details]
…physiologic EGJ, or over 2 cm distal to it, within the cardia of the stomach. The gastric cardia is also imprecisely defined Anatomists describe the cardia as that zone of the stomach that is adjacent to the …

Japanese Journal

B-1 食道アカラシアに対する腹腔鏡下手術 : 食道噴門筋切開術と噴門形成術(腹腔鏡(1))

橋本治光,吉野浩之,金丸仁,木村泰三
日本小児外科学会雑誌 33(3), 463, 1997
NAID 110004532726

食道アカラジアに合併した早期食道癌(ep癌)の1例

金岡祐司,田中紀章,小林元壮,仁科拓也,後藤精俊,柏谷昌昭,竹内仁司,荒田敦,小長英二
日本臨床外科医学会雑誌 55(11), 2819-2823, 1994
… 切除例の報告が増加している.今回われわれは食道アカラジア術後に合併した早期食道癌(ep癌)の1例を経験した.症例は62歳,女性で嚥下困難等の症状が出現した20年後に食道アカラジアと診断され粘膜外食道噴門筋切開術をうけた.その後自覚症状は改善されていたが定期的内視鏡検査により術後2年目に不整発赤面を発見され食道癌と診断された.手術は食道亜全摘を行い,胃管を用いて胸骨後経路で再建した.病理ではep, n …
NAID 130003431973