胃潰瘍により発生した胃気管支瘻の一例
胃潰瘍から胃気管支瘻を発症した症例を経験した.症例は60歳男性.肺炎, 貧血の診断にて近医入院加療中に上部消化管造影にて胃気管支瘻と診断され当院に紹介となった.保存的治療では改善が見られず, 左下葉切除, 噴門側胃切除, 気管支断端大網被覆, 横隔膜穿孔部縫合閉鎖を施行した. 胃気管支瘻は報告例が少なく, またその報告例では腹部手術などで胸郭内へ移行した胃からの交通例が多い.本症例は, 胃潰瘍により経横隔膜的に気管支へ瘻孔を形成したまれなケースと考えられた....
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| Published in | 日本呼吸器外科学会雑誌 Vol. 16; no. 7; pp. 837 - 840 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English Japanese |
| Published |
特定非営利活動法人 日本呼吸器外科学会
15.11.2002
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0919-0945 1881-4158 |
| DOI | 10.2995/jacsurg.16.7_837 |
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| Abstract | 胃潰瘍から胃気管支瘻を発症した症例を経験した.症例は60歳男性.肺炎, 貧血の診断にて近医入院加療中に上部消化管造影にて胃気管支瘻と診断され当院に紹介となった.保存的治療では改善が見られず, 左下葉切除, 噴門側胃切除, 気管支断端大網被覆, 横隔膜穿孔部縫合閉鎖を施行した. 胃気管支瘻は報告例が少なく, またその報告例では腹部手術などで胸郭内へ移行した胃からの交通例が多い.本症例は, 胃潰瘍により経横隔膜的に気管支へ瘻孔を形成したまれなケースと考えられた. |
|---|---|
| AbstractList | 胃潰瘍から胃気管支瘻を発症した症例を経験した.症例は60歳男性.肺炎, 貧血の診断にて近医入院加療中に上部消化管造影にて胃気管支瘻と診断され当院に紹介となった.保存的治療では改善が見られず, 左下葉切除, 噴門側胃切除, 気管支断端大網被覆, 横隔膜穿孔部縫合閉鎖を施行した. 胃気管支瘻は報告例が少なく, またその報告例では腹部手術などで胸郭内へ移行した胃からの交通例が多い.本症例は, 胃潰瘍により経横隔膜的に気管支へ瘻孔を形成したまれなケースと考えられた. |
| Author | 一瀬, 増太郎 神頭, 徹 中川, 正嗣 園部, 誠 長澤, みゆき |
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| References | 11) Stal JM, Hanly PJ, Darling GE: Gastrobronchial fistula: An unusualcomplication of esophagectomy. Ann Thoracic Surg 58: 886-887, 1994. 2) Mansour KA, Burton HP, Miller JI Jr, et al: Complication of intrathoracic Nissen fundoplication. Ann Thoracic Surg 32: 173-178, 1981. 3) Milne RN, Thomson JWW: A case of gastrobronchial fistula. Br J Surg 57: 632-635, 1970. 23) Missen AJB, Pemberton J, Boon A, : Gastrobronchial fistula. Postgrad Med J 50: 504-507, 1974. 16) Bavry AA, Solorzano CC, Hocking MP: Unusual presentation of hemoptysis in a 78-year-old with previous Nissen Fundoplication. Am Surg 64: 1223-1225, 1998. 8) Watkinson JC, Searle A, Fagg NLK: Hypopharyngeal carcinomatosis, large bowel obstruction and a gastrobronchial fistula. A case report with a review of the literature. J Laryngol Otol 102: 67-68, 1988. 5) Richardson AJ, Tait N, 0' Rourke IO: Gastrobronchial fistula owing to non-malignant causes. Br J Surg 79: 331-332, 1992. 7) Irwin ST, Asquith CM, Gibbons JRP, et al: Gastro-pleuro bronchial fistula mimicking bronchiectasis. Br J Clin Pract 42: 514-517, 1988. 17) Barcons M, Betbese A, Perez M, et al: Gastrobronchial fistula: report of an unusual case. Intensive Care Med 22: 271-272, 1996. 19) 小島雅之, 日月裕司, 加藤抱一, 他: 外科的治療が奏功した食道癌術後再建胃管― 気管支瘻の1例.日胸外会誌44: 668-672, 1996. 13) Al-Qudah A: Traumatic gastrobronchial fistula: Case report and review of the literature. J Pediatr Surg 32: 1798-1800, 1997. 24) Gondos B, Hakkal HG, Walker WP: Gastrobronchial fistula: report of a case and review of the literature. Med Ann DC 40: 649-653, 1971. 4) Chong WK, Constanst OC: Case report: Gastrobronchial fistula. Clin Radiol 41: 141-142, 1990. 18) Cameron EW, Colby JM, Swanson RS: Gastrobronchial fistula in untreated Lymphoma. J Thoracic Imaging 11: 150-152, 1996. 21) Saito H, Minamiya Y, Hashimoto M, et al: Repair of reconstructed gastric tube bronchial fistulas after operation for esophageal cancer by transposing a pedicled pectoralis major muscle flap: report of three successful cases. Surgery 123: 365-368, 1998. 15) Stringer DA, Pablot SM: Broncho-gastric tube fistula as acomplication of esophageal replacement. J Can Assoc Radiol 36: 61-62, 1985. 22) Stark P, : Bronchoenteric fistula in lymphoma. AJR 136: 615-617, 1981. 9) Matsuoka T, Nagai Y, Muguruma K, et al: Liver penetration and gastrobronchial fistula: Unusual complication of apeptic ulcer. Am Surg 61: 492-494, 1995. 25) Quashe AL, Pairolero PC: Intraoperative diagnosis of a gastrobronchial fistula. Anesthesiology 52: 175-177, 1980. 14) Okoro EO, Komolafe OF: Gastric tuberculosis: Unusual presentation in two patients. Clinical Radiology 54: 257-259, 1999. 20) 岩田尚士, 平井敏弘, 山下芳典, 他: 食道癌根治術後再建胃気管支瘻の1治験例.日胸外会誌44: 1753-1758, 1996. 10) Anbari MM, Levine MS, Cohen RB, et al: Delayed leaks and fitulas after esophagectomy: Radiologic evaluation. AJR 160: 1217-1220, 1993. 1) Moeller DD, Carpentar PR: Gastrobronchial fistula: Case report and review of the English literature. Am J Gastroenterol 80: 538-541, 1985. 6) Gaensler EH, Jeffrey RB, Noonan CD: Gastrobronchial fistula: An unusual complication of Nissen fundoplication. Gastrointest Radiol 13: 6-8, 1988. 12) Joseph JT, Krumpe PE: Diagnosis of gastrobronchial fistula by measurement of bronchial secretion pH. Case report and literaturereview. Chest 96: 935-935, 1989. |
| References_xml | – reference: 23) Missen AJB, Pemberton J, Boon A, : Gastrobronchial fistula. Postgrad Med J 50: 504-507, 1974. – reference: 12) Joseph JT, Krumpe PE: Diagnosis of gastrobronchial fistula by measurement of bronchial secretion pH. Case report and literaturereview. Chest 96: 935-935, 1989. – reference: 6) Gaensler EH, Jeffrey RB, Noonan CD: Gastrobronchial fistula: An unusual complication of Nissen fundoplication. Gastrointest Radiol 13: 6-8, 1988. – reference: 4) Chong WK, Constanst OC: Case report: Gastrobronchial fistula. Clin Radiol 41: 141-142, 1990. – reference: 19) 小島雅之, 日月裕司, 加藤抱一, 他: 外科的治療が奏功した食道癌術後再建胃管― 気管支瘻の1例.日胸外会誌44: 668-672, 1996. – reference: 21) Saito H, Minamiya Y, Hashimoto M, et al: Repair of reconstructed gastric tube bronchial fistulas after operation for esophageal cancer by transposing a pedicled pectoralis major muscle flap: report of three successful cases. Surgery 123: 365-368, 1998. – reference: 9) Matsuoka T, Nagai Y, Muguruma K, et al: Liver penetration and gastrobronchial fistula: Unusual complication of apeptic ulcer. Am Surg 61: 492-494, 1995. – reference: 15) Stringer DA, Pablot SM: Broncho-gastric tube fistula as acomplication of esophageal replacement. J Can Assoc Radiol 36: 61-62, 1985. – reference: 17) Barcons M, Betbese A, Perez M, et al: Gastrobronchial fistula: report of an unusual case. Intensive Care Med 22: 271-272, 1996. – reference: 24) Gondos B, Hakkal HG, Walker WP: Gastrobronchial fistula: report of a case and review of the literature. Med Ann DC 40: 649-653, 1971. – reference: 10) Anbari MM, Levine MS, Cohen RB, et al: Delayed leaks and fitulas after esophagectomy: Radiologic evaluation. AJR 160: 1217-1220, 1993. – reference: 25) Quashe AL, Pairolero PC: Intraoperative diagnosis of a gastrobronchial fistula. Anesthesiology 52: 175-177, 1980. – reference: 22) Stark P, : Bronchoenteric fistula in lymphoma. AJR 136: 615-617, 1981. – reference: 7) Irwin ST, Asquith CM, Gibbons JRP, et al: Gastro-pleuro bronchial fistula mimicking bronchiectasis. Br J Clin Pract 42: 514-517, 1988. – reference: 20) 岩田尚士, 平井敏弘, 山下芳典, 他: 食道癌根治術後再建胃気管支瘻の1治験例.日胸外会誌44: 1753-1758, 1996. – reference: 3) Milne RN, Thomson JWW: A case of gastrobronchial fistula. Br J Surg 57: 632-635, 1970. – reference: 13) Al-Qudah A: Traumatic gastrobronchial fistula: Case report and review of the literature. J Pediatr Surg 32: 1798-1800, 1997. – reference: 18) Cameron EW, Colby JM, Swanson RS: Gastrobronchial fistula in untreated Lymphoma. J Thoracic Imaging 11: 150-152, 1996. – reference: 5) Richardson AJ, Tait N, 0' Rourke IO: Gastrobronchial fistula owing to non-malignant causes. Br J Surg 79: 331-332, 1992. – reference: 14) Okoro EO, Komolafe OF: Gastric tuberculosis: Unusual presentation in two patients. Clinical Radiology 54: 257-259, 1999. – reference: 8) Watkinson JC, Searle A, Fagg NLK: Hypopharyngeal carcinomatosis, large bowel obstruction and a gastrobronchial fistula. A case report with a review of the literature. J Laryngol Otol 102: 67-68, 1988. – reference: 2) Mansour KA, Burton HP, Miller JI Jr, et al: Complication of intrathoracic Nissen fundoplication. Ann Thoracic Surg 32: 173-178, 1981. – reference: 11) Stal JM, Hanly PJ, Darling GE: Gastrobronchial fistula: An unusualcomplication of esophagectomy. Ann Thoracic Surg 58: 886-887, 1994. – reference: 16) Bavry AA, Solorzano CC, Hocking MP: Unusual presentation of hemoptysis in a 78-year-old with previous Nissen Fundoplication. Am Surg 64: 1223-1225, 1998. – reference: 1) Moeller DD, Carpentar PR: Gastrobronchial fistula: Case report and review of the English literature. Am J Gastroenterol 80: 538-541, 1985. |
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| Snippet | 胃潰瘍から胃気管支瘻を発症した症例を経験した.症例は60歳男性.肺炎, 貧血の診断にて近医入院加療中に上部消化管造影にて胃気管支瘻と診断され当院に紹介となった.保存的治療では改善が見られず, 左下葉切除, 噴門側胃切除, 気管支断端大網被覆, 横隔膜穿孔部縫合閉鎖を施行した. 胃気管支瘻は報告例が少なく,... |
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| Title | 胃潰瘍により発生した胃気管支瘻の一例 |
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