Öz
Erken tanı konulmayan akalazya kaşeksiye yol açabilir. Kaşektik hastalarda uygulanacak cerrahi girişim
daha sık komplikasyona, uzun bir iyileşme periyoduna ya da ölüme neden olabilir. 2 yıllık dönemde disfaji
yakınması olan ve yaklaşık 30 kg zayıflayan hasta kliniğimize sevk edildi. Aşırı kaşektik hastada kandidial
özafajit tedavisi yapıldıktan sonra pnömatik dilatasyon uygulanmış olsa da kusmaları devam etti. Evde uzun
süreli enteral beslenmesi için perkutan endoskopik gastrostomi (PEG) takıldı. 3 ay sonra normal yemek
yemeye başladıktan sonra PEG çekildi. Çok nadir olarak görülen bu hasta grubunda PEG ile yapılan evde
enteral beslenme definitif tedavi öncesi kazanç sağlar.
Anahtar Kelimeler
Özofageal akalazya endoskopik cerrahi işlem balon dilatasyon
Kaynakça
- 1) Beck W.C, Sharp K.W. Achalasia. Surg Clin North Am 2011;91(5):1031-7. Abir F 2) Modlin I, Kidd M, Bell R. Surgical treatment of achalasia: current status and controversies. Digestive Surgery 2004;21(3):165-76. 3) Sadowski D.C, Ackah F, Jiang B, Svenson L.W. Achalasia: incidence, prevalence and survival. A population-based study. Neurogastroenterol Motil 2010;22(9):256-61. 4) Woltman T.A, Pellegrini C.A, Oelschlager B.K. Achalasia. Surg Clin North Am 2005;85(3):483-93. 5) Dobrowolsky A, Fisichella P.M. The management of esophageal achalasia: from diagnosis to surgical treatment. Updates in Surgery 2014;66(1):23-9. 6) Moonen A.J, Boeckxstaens G.E. Management of achalasia. Gastroenterol Clin North Am 2013;42(1):45-55. 7) Dughera L, Chiaverina M, Cacciotella L, Cisarò F. Management of achalasia. Clinical and Experimental Gastroenterology 2011;4: 33-41. 8) Goldsmith P.J, Decadt B. Extreme achalasia presenting as anorexia nervosa. Case Reports in Surgery 2012;2012:985454.
Öz
Achalasia that is not diagnosed on time may result in cachexia, which may cause more complications, longer
period of recovery and even higher mortality following surgical interventions. A patient, complaining of
dysphagia for 2 years and weight loss of 30 kilograms, was referred to our clinic. Although ballon dilatation
was performed following medical treatment of candidal esophagitis in too faint patient, vomitting had been
continued. Percutaneous Endoscopic Gastrostomy (PEG) for a long period of home enteral nutrition was
placed.After 3 months the patient could start to eat, PEG had been taken. Home enteral nutrition via PEG is a
highly cost-effective pretreatment method before the definitive therapy in this small group of patients with
severe cachexia.
Anahtar Kelimeler
Esophageal achalasia endoscopic surgical procedure balloon dilation
Kaynakça
- 1) Beck W.C, Sharp K.W. Achalasia. Surg Clin North Am 2011;91(5):1031-7. Abir F 2) Modlin I, Kidd M, Bell R. Surgical treatment of achalasia: current status and controversies. Digestive Surgery 2004;21(3):165-76. 3) Sadowski D.C, Ackah F, Jiang B, Svenson L.W. Achalasia: incidence, prevalence and survival. A population-based study. Neurogastroenterol Motil 2010;22(9):256-61. 4) Woltman T.A, Pellegrini C.A, Oelschlager B.K. Achalasia. Surg Clin North Am 2005;85(3):483-93. 5) Dobrowolsky A, Fisichella P.M. The management of esophageal achalasia: from diagnosis to surgical treatment. Updates in Surgery 2014;66(1):23-9. 6) Moonen A.J, Boeckxstaens G.E. Management of achalasia. Gastroenterol Clin North Am 2013;42(1):45-55. 7) Dughera L, Chiaverina M, Cacciotella L, Cisarò F. Management of achalasia. Clinical and Experimental Gastroenterology 2011;4: 33-41. 8) Goldsmith P.J, Decadt B. Extreme achalasia presenting as anorexia nervosa. Case Reports in Surgery 2012;2012:985454.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 15 Aralık 2014 |
| Gönderilme Tarihi | 14 Nisan 2014 |
| Kabul Tarihi | 6 Ağustos 2014 |
| Yayımlandığı Sayı | Yıl 2014 Cilt: 11 Sayı: 3 |
Harran Üniversitesi Tıp Fakültesi Dergisi / Journal of Harran University Medical Faculty