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篇名	Congenital Esophageal Stenosis with Long Term Follow Up: Report of a Case
作者	Cheng-Lung Chen, Zung-Hwa Chiang, Ting-Ywan Chow
卷期/出版年月	40卷6期 (2007/12)
頁次	265-270
摘要	Congenital esophageal stenosis is a rare entity, its incidence is much lower than that of congenital esophageal atresia. We report a full term normally delivered female infant who could only be fed with milk slowly after birth. Rapid feeding caused choking and regurgitation. She could tolerate liquid diet only. Esophagography at 4 years of age showed a short segmental stenosis at middle esophagus. The patient underwent surgical intervention at age 6 when her body weight was only 15 kilograms. Segmental resection of stenosis with primary end-to-end anastomosis was done after failure to dilate with a bougie. Pathological examination of the resected specimen showed congenital fibromuscular stenosis. After the operation the patient could eat solid foods and gained weight normally. As a teenager, she began to experience mild stasis in swallowing large pieces of meat. Both esophagoscopy and esophagography 18 years after operation showed a mild ringed narrowing at the anastomotic site. She received no further management but avoided swallowing large pieces of meat.
關鍵詞	congenital esophageal stenosis, fibromuscular stenosis
分類	Case Report