Yıl: 2005 Cilt: 16 Sayı: 4 Sayfa Aralığı: 224 - 227 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Plummer-Vinson syndrome and dilation therapy: A report of two cases

Öz:
Plummer-Vinson sendromu post-krikoid disfaji, üst özofagus vebi ve demir eksikliği anemisinin birlikteliği olarak bilinir. Her ne kadar demir eksikliğinin düzeltilmesi, disfajinin rahatlaması yla ve bazen de vebin ortadan kalkmasıyla sonuçlansa da genellikle, vebi yok etmek ve disfajiyi rahatlatmak için dilatasyon tedavisi gereklidir. Biz iki Plummer-Vinson sendromu vakası bildirdik. Her iki hasta, önemli ve uzun süren disfaji, sideropeni, glossit ve kaşık tırnak şikayetleri ile müracaat etti. İki hastamızda da bazen yemek yerken boğulma hissi ve aspirasyon periyodları vardı ve endoskop üst özofagustan ileri gitmedi. Hastaların özofagogramları post-krikoid bölgede vebi gösteriyordu. Her iki hasta özofagal buji yada balon ile birlikte demirle tedavi edildi. Tedaviden sonra iki yıl boyunca düzenli muayaneler yapıldı ve hastalar iyi durumda bulundu.
Anahtar Kelime: Genişleme Tedavi sonucu Kadın Orta yaşlı Yutma bozuklukları Plummer-Vinson sendromu

Konular: Cerrahi

Plummer-Vinson sendromu ve dilatasyon tedavisi: İki olgu raporu

Öz:
Plummer-Vinson syndrome is known as the association of postcricoid dysphagia, upper esophageal web, and iron deficiency anemia. Although correction of iron deficiency may result in resolution of dysphagia and sometimes disappearance of the webs, dilation therapy is usually necessary to remove webs and relieve dysphagia. We report two cases of Plummer-Vinson syndrome. Both patients presented with significant and longstanding dysphagia, sideropenia, glossitis and koilonychia. Our two patients had occasional choking and aspiration episodes at eating and endoscope did not pass through at the level of the upper esophagus. Patients’ esophagograms revealed the presence of webs in part of the post-cricoid region. Both patients were treated with esophageal bougienage or balloon dilation, and iron supplementation. The patients were examined periodically for two years after the initial treatment and found to be in good general condition.
Anahtar Kelime: Female Middle Aged Deglutition Disorders Plummer-Vinson Syndrome Dilatation Treatment Outcome

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Plummer S. Diffuse dilatation of the esophagus without anatomic stenosis (cardiospasm). A report of ninety one cases. J Am Med Assoc 1912; 58: 2013-5.
  • 2. Vinson PP. A case of cardiospasm with dilatation and angulation of the esophagus. Med Clinics North Am 1919; 3:623-7.
  • 3. Paterson DR. Clinical type of dysphagia. J Laryngol Rhinol Otol (Lond.) 1919; 24: 289-91.
  • 4. Kelly AB. Spasm at the entrance of the esophagus. J Laryngol Rhinol Otol 1919; 34: 285-9.
  • 5. Chen TS, Chen PS. Rise and fall of the Plummer-Vinson syndrome. J Gastroenterol Hepatol 1994; 9: 654-8.
  • 6. Beyler AR, Yurdaydin C, Bahar K, et al. Dilation therapy of upper esophageal webs in two cases of Plummer-Vinson syndrome. Endoscopy 1996; 28(2): 266-7.
  • 7. Uygur-Bayramicli O, Tuncer K, Dolapcioglu C. Plummer- Vinson syndrome presenting with an esophageal stricture. J Clin Gastroenterol 1999; 29(3): 291-2.
  • 8. Yukselen V, Karaoglu AO, Yasa MH. Plummer-Vinson syndrome: a report of three cases. Int J Clin Pract 2003; 57(7): 646-8.
  • 9. Atmadzitis K, Papaziogas B, Pavlidis T, et al. Plummer- Vinson syndrome. Dis Esophagus 2003; 16(2): 154-7.
  • 10. Mansell NJ, Jani P, Bailey CM. Plummer-Vinson syndrome- a rare presentation in a child. J Laryngol Otol 1999; 113(5): 475-6.
  • 11. Lopez Rodrigez MJ, Robledo Andres P, Amarilla Jimenez A, et al. Sideropenic dysphagia in an adolescent. J Pediatr Gastroenterol Nutr 2002; 34(1): 87-90.
  • 12. Ekberg O, Nylander G. Webs and web-like formations in the pharynx and cervical esophagus. Diag Imaging 1983;52: 10-8.
  • 13. Dantas RO, Vilanova MG. Esophageal motility impairment in Plummer-Vinson syndrome. Correction by iron treatment. Dig Dis Sci 1993; 38(5): 968-71.
  • 14. Bredenkamp JK, Castro DJ, Mckel RA. Importance of iron repletion in the management of Plummer-Vinson syndrome. Ann Otol Rhinol Laryngol 1990; 90(1): 51-4.
  • 15. Dantas RO. Iron deficiency and dysphagia. Am J Gastroenterol 1999; 94: 3072-3.
  • 16. Aubry P, Oddes B, Chazouilleres D, et al. [Plummer-Vinson syndrome or related syndrome in 3 black African women]. Ann Gastroenterol Hepatol (Paris) 1985; 21(2): 113-6.
  • 17. Remacha A, Souto JC, Ortuno F, et al. [Pernicious anemias with subtle or atypical presentations]. Sangre (Barc) 1992; 37(2): 109-13.
  • 18. Dejmkova H, Pavelka K. An unusual clinical manifestation of secundary Sjogren’s syndrome and concomitant Paterson- Kelly syndrome. Clin Rheumatol 1994; 13(2): 305-8.
  • 19. Dickey W, McConnell B. Ceilac disease presenting as the Paterson-Brown Kelly (Plummer-Vinson ) syndrome. Am J Gastroenterol 1999; 94(2): 527-9.
  • 20. Makharia GK, Nandi B, Garg PK, et al. Plummer-Vinson syndrome: unusual features. Indian J Gastroenterol 2002; 21: 74-5.
  • 21. Sanai FM, Mohammed AE, Al Karawi MA. Dysphagia caused by Plummer-Vinson syndrome. Endoscopy 2001; 33: 470.
  • 22. Ribeiro U Jr, Posner MC, Safetle-Ribeiro AV, et al. Risk factors for squamous cell carcinoma of the esophagus. Br J Surg 1996; 83: 1174-85.
  • 23. Rashid Z, Komar A, Komar M. Plummer-Vinson syndrome and post-cricoid carcinoma: late complications of unrecognized celiac disease. Am J Gastroenterol 1999; 94: 1991.
  • 24. Maleki D, Cameron AJ. Plummer-Vinson syndrome associated with chronic blood loss anemia and large diaphragmatic hernia. Am J Gastroenterol 2002; 97(1): 190-3.
  • 25. Nagai T, Susami E, Ebihara T. Plummer-Vinson syndrome complicated by gastric cancer: a case report. Keio J Med 1990; 39(2): 106-11.
APA DEMİRCİ F, SAVAŞ M, KEPKEP N, OKAN V, YILMAZ M, BÜYÜKBERBER M, GÜLŞEN M (2005). Plummer-Vinson syndrome and dilation therapy: A report of two cases. , 224 - 227.
Chicago DEMİRCİ FİKRET,SAVAŞ M. Cemil,KEPKEP Necip,OKAN Vahap,YILMAZ MEHMET,BÜYÜKBERBER Mehmet,GÜLŞEN M. Taner Plummer-Vinson syndrome and dilation therapy: A report of two cases. (2005): 224 - 227.
MLA DEMİRCİ FİKRET,SAVAŞ M. Cemil,KEPKEP Necip,OKAN Vahap,YILMAZ MEHMET,BÜYÜKBERBER Mehmet,GÜLŞEN M. Taner Plummer-Vinson syndrome and dilation therapy: A report of two cases. , 2005, ss.224 - 227.
AMA DEMİRCİ F,SAVAŞ M,KEPKEP N,OKAN V,YILMAZ M,BÜYÜKBERBER M,GÜLŞEN M Plummer-Vinson syndrome and dilation therapy: A report of two cases. . 2005; 224 - 227.
Vancouver DEMİRCİ F,SAVAŞ M,KEPKEP N,OKAN V,YILMAZ M,BÜYÜKBERBER M,GÜLŞEN M Plummer-Vinson syndrome and dilation therapy: A report of two cases. . 2005; 224 - 227.
IEEE DEMİRCİ F,SAVAŞ M,KEPKEP N,OKAN V,YILMAZ M,BÜYÜKBERBER M,GÜLŞEN M "Plummer-Vinson syndrome and dilation therapy: A report of two cases." , ss.224 - 227, 2005.
ISNAD DEMİRCİ, FİKRET vd. "Plummer-Vinson syndrome and dilation therapy: A report of two cases". (2005), 224-227.
APA DEMİRCİ F, SAVAŞ M, KEPKEP N, OKAN V, YILMAZ M, BÜYÜKBERBER M, GÜLŞEN M (2005). Plummer-Vinson syndrome and dilation therapy: A report of two cases. Turkish Journal of Gastroenterology, 16(4), 224 - 227.
Chicago DEMİRCİ FİKRET,SAVAŞ M. Cemil,KEPKEP Necip,OKAN Vahap,YILMAZ MEHMET,BÜYÜKBERBER Mehmet,GÜLŞEN M. Taner Plummer-Vinson syndrome and dilation therapy: A report of two cases. Turkish Journal of Gastroenterology 16, no.4 (2005): 224 - 227.
MLA DEMİRCİ FİKRET,SAVAŞ M. Cemil,KEPKEP Necip,OKAN Vahap,YILMAZ MEHMET,BÜYÜKBERBER Mehmet,GÜLŞEN M. Taner Plummer-Vinson syndrome and dilation therapy: A report of two cases. Turkish Journal of Gastroenterology, vol.16, no.4, 2005, ss.224 - 227.
AMA DEMİRCİ F,SAVAŞ M,KEPKEP N,OKAN V,YILMAZ M,BÜYÜKBERBER M,GÜLŞEN M Plummer-Vinson syndrome and dilation therapy: A report of two cases. Turkish Journal of Gastroenterology. 2005; 16(4): 224 - 227.
Vancouver DEMİRCİ F,SAVAŞ M,KEPKEP N,OKAN V,YILMAZ M,BÜYÜKBERBER M,GÜLŞEN M Plummer-Vinson syndrome and dilation therapy: A report of two cases. Turkish Journal of Gastroenterology. 2005; 16(4): 224 - 227.
IEEE DEMİRCİ F,SAVAŞ M,KEPKEP N,OKAN V,YILMAZ M,BÜYÜKBERBER M,GÜLŞEN M "Plummer-Vinson syndrome and dilation therapy: A report of two cases." Turkish Journal of Gastroenterology, 16, ss.224 - 227, 2005.
ISNAD DEMİRCİ, FİKRET vd. "Plummer-Vinson syndrome and dilation therapy: A report of two cases". Turkish Journal of Gastroenterology 16/4 (2005), 224-227.