先天性食道閉鎖症根治術後10年以上経過して生じた食道異物例

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  • A Case of Esophageal Foreign Body Impaction after Congenital Esophageal Atresia Repair over 10 Years Later
  • 臨床 先天性食道閉鎖症根治術後10年以上経過して生じた食道異物例
  • リンショウ センテンセイ ショクドウ ヘイサショウ コンジ ジュツゴ 10ネン イジョウ ケイカ シテ ショウジタ ショクドウ イブツレイ

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Improved long-term disease prognosis has led to the otolaryngologist sometimes seeing a remote history of congenital esophageal atresia repair. We report a case of esophageal foreign body impaction with post congenital esophageal atresia repair over 10 years after the fact.<br> A 13-year-old boy reported a globus feeling—a ‘lump in the throat’—and dysphagia after eating fried chicken. Despite diagnostic difficulty, we identified and removed a chicken bone through esophagogastroduodenoscopy 2 days later without complications. The chicken bone was 98 mm long.<br> This impaction after such repair is due both to anastomotic stricture and to esophageal dysmotility. Such impaction is usually accidental, and its recurrence should be prevented by working with the subject and caretakers.<br>

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