食管结石2例

Esophageal calculus:Report of two cases

食管结石在临床上较为少见,容易引起误诊、漏诊,如得不到及时救治,可引起消化系出血或穿孔等严重并发症.食管结石症状无特异性,常表现为胸骨后疼痛不适,吞咽困难.内镜为诊断食管结石的最佳方法,内镜下碎石术也是其最佳治疗方法.食管结石的形成多伴有食管的基础疾病,常见合并贲门失迟缓症,考虑与食管排空障碍,长期食物潴留相关.

Esophageal calculus is a rare clinical entity that is easily misdiagnosed or overlooked. It can induce severe complications such as hemorrhage and per- foration. The symptoms of esophageal calculus are not specific, and substernal pain and dysphagia are common clinical manifestations. Gastroscopy is the preferred diagnostic modality, and endoscopic lithotrity is the optimal treatment. Underlying dis- eases, such as esophageal achalasia, are common in patients with esophageal calculus, which may be related to emptying delay and food retention.