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ID 39749
本文ファイル
著者
Ibuki, Yuta
Taomoto, Junya
Furukawa, Takaoki
Yamakita, Ichiko
キーワード
Transhiatal esophagectomy
Inflammatory diseases
NDC
医学
抄録(英)
Patients with esophageal cancer often have various comorbidities, and these sometimes limit treatment choices. We describe a patient with stage IA esophageal cancer accompanied by interstitial lung disease (ILD). Endoscopic resection and radiotherapy were not appropriate because of clinically diagnosed submucosal invasion and the patient was at high risk of ILD exacerbation. We therefore selected transhiatal esophagectomy without a thoracotomy considering the risk of postoperative respiratory complications, and administered methylprednisolone and sivelestat in the perioperative period for the reduction of surgical stress. To our knowledge, this is the first report of surgical treatment for esophageal cancer with ILD. The patient was discharged without postoperative complications. Transhiatal esophagectomy is an appropriate choice for patients with early-stage esophageal cancer without lymph node metastasis who are at high risk for postoperative respiratory complications. The appropriate selection of treatment is important for patients with esophageal cancer considering the risk of complications.
掲載誌名
Hiroshima Journal of Medical Sciences
65巻
1号
開始ページ
19
終了ページ
23
出版年月日
2016-03
出版者
Hiroshima University Medical Press
ISSN
0018-2052
NCID
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
権利情報
Copyright (c) 2016 Hiroshima University Medical Press
部局名
原爆放射線医科学研究所
医歯薬保健学研究科
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