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Megaesophagus and Megaduodenum Found Incidentally on a Routine Chest Radiograph During a Health Examination.
Arai, Yoshinori; Ogawa, Maiko; Arimoto, Rikako; Ando, Yoshitaka; Endo, Daisuke; Nakada, Tatsuya; Sugawara, Ichiro; Yokoyama, Hiroshi; Shimoyama, Keiko; Inomata, Hiroko; Kawahara, Yosuke; Kato, Masayuki; Arihiro, Seiji; Hokari, Atsushi; Saruta, Masayuki.
Affiliation
  • Arai Y; Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University Katsushika Medical Center, Japan.
  • Ogawa M; Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University Katsushika Medical Center, Japan.
  • Arimoto R; Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University Katsushika Medical Center, Japan.
  • Ando Y; Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University Katsushika Medical Center, Japan.
  • Endo D; Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University Katsushika Medical Center, Japan.
  • Nakada T; Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University Katsushika Medical Center, Japan.
  • Sugawara I; Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University Katsushika Medical Center, Japan.
  • Yokoyama H; Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University Katsushika Medical Center, Japan.
  • Shimoyama K; Department of Endoscopy, The Jikei University Katsushika Medical Center, Japan.
  • Inomata H; Department of Endoscopy, The Jikei University Katsushika Medical Center, Japan.
  • Kawahara Y; Department of Endoscopy, The Jikei University Katsushika Medical Center, Japan.
  • Kato M; Department of Endoscopy, The Jikei University Katsushika Medical Center, Japan.
  • Arihiro S; Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University Katsushika Medical Center, Japan.
  • Hokari A; Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University Katsushika Medical Center, Japan.
  • Saruta M; Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Japan.
Intern Med ; 60(13): 2039-2046, 2021 Jul 01.
Article in En | MEDLINE | ID: mdl-33518569
ABSTRACT
Chronic idiopathic intestinal pseudo-obstruction (CIIP) caused by impaired intestinal peristalsis leads to intestinal obstructive symptoms. A 20-year-old man had marked esophageal dilatation that was found incidentally on chest radiography during a health examination. Chest/abdominal contrast-enhanced computed tomography and endoscopy showed marked esophageal and duodenal dilatation without mechanical obstruction. Upper gastrointestinal series and high-resolution esophageal manometry revealed absent peristalsis in the dilated part. CIIP was suspected in the patient's father, suggesting familial CIIP. The patient likely had signs of pre-onset CIIP. This is the first case of suspected CIIP in which detailed gastrointestinal tract examinations were performed before symptoms appeared.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Intestinal Pseudo-Obstruction / Esophageal Achalasia Limits: Adult / Humans / Male Language: En Journal: Intern Med Journal subject: MEDICINA INTERNA Year: 2021 Document type: Article Affiliation country: Japan
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Intestinal Pseudo-Obstruction / Esophageal Achalasia Limits: Adult / Humans / Male Language: En Journal: Intern Med Journal subject: MEDICINA INTERNA Year: 2021 Document type: Article Affiliation country: Japan