Ciddi akalazyada pnömatik dilatasyon ile birlikte perkutan endoskopik gastrostomi uygulaması

Year 2014, Volume: 11 Issue: 3, 312 - 315, 15.12.2014

Cebrail Akyüz , Erdal Polat Necdet Fatih Yaşar Ahmet Şeker , Mustafa Duman , Sinan Yol

Abstract

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. 

Keywords

Özofageal akalazya, endoskopik cerrahi işlem, balon dilatasyon

Pneumatic dilation and placement of Percutaneous Endoscopic Gastrostomy in severe achalasia

Abstract

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. 

Keywords

Esophageal achalasia, endoscopic surgical procedure, balloon dilation

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