小児食道狹窄の1治験例

　緒言

　食道瘢痕性狭窄症の治療法は古くは紀元4世紀に"ローマ"に於て"オリバジウス"が拡張の器械を考案したと云われ其後ロタイセン，ヘンレ等も拡張に用うるブジーを考えた．食道鏡使用法の発達以来食道狭窄の状態を精細に検査する事を得るに至り，従来の暗中"ブジールング"に依る危険はなくなつた．

　元来食道は生理的にも狭窄部が有り，食道の炎症圧迫その他種々の原因に依つて起る食道狭窄も亦此等狭窄部に発生する事が多い．之等の原因として1）異物性狭窄．2）腫瘍性狭窄．3）炎症性狭窄．4）瘢痕性狭窄　5）神経性狭窄5）圧迫性狭窄6）先天性狭窄7）等が考えられるが，その内，腫瘍性狭窄殊に癌腫が最も多く，次で瘢痕性によるものが多い．

NAKAGAWA reports a case of esophageal stric-ture which occurred in a male infant aged 38 mon-ths. The symptoms of stricture which was located at the third anatomical constriction of the esopha-gus were manifested 2, months after the attack of acute dysentery of which the patient suffered 5 months previously. No marked degree of fUnction-al disturbances was shown by pilocarpitt-atropin test but the diagnosis was confirmed by roentgeno-gram and esophaguscopy the latter of which sho-wed the lesion to be cicatrical in character: The patient colerated remarkably well whale-hone bou-gie dilatation of the lesion which respondad with a completc cure.