Intractable esophageal ulcer due to intestinal Behçet disease successfully treated by thoracoscopic esophagectomy : a case report Yusuke WATANABE 1 , Eishi NAGAI 1 , Junji UEDA 1 , Kenoki OHUCHIDA 1 , Hiroki TOMA 1 , Masao TANAKA 1 1Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University Keyword: 食道潰瘍 , 胸腔鏡下食道手術 , Behçet病 pp.499-503
Published Date 2012/8/15
DOI https://doi.org/10.11477/mf.4426100818
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 We herein report a 38-year-old male who was diagnosed as an intractable esophageal ulcer due to Behçet disease. Thoracoscopic surgery for the esophageal ulcer was performed because of uncontrollable severe inflammation which was difficult to control even by steroid and immunosuppressive agents. Since thoracoscopic esophagectomy is minimally invasive, this procedure was selected for the treatment of this patient. Reconstruction of the esophagus was performed as a second-stage operation after terminating steroid administration because of the severe and acute inflammatory state of the esophagus. Two-stage operation consisting of thoracoscopic esophagectomy and subsequent reconstructive procedure is feasible and safe for poor-risk patients with esophageal diseases.

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