食道賁門失弛緩症反覆復發

Repeated Recurrences of Esophageal Achalasia

一名71歲女性病人，因原發性或復發性食道賁門失弛緩症，34年來接受了多次手術。手術包括左側開胸食道肌切開術，治療其原發性賁門失弛緩症，而後兩次剖腹做食道肌切開術，治療復發性食道賁門失弛緩症，以及最終剖腹和胸腔鏡方式，進行部分食道胃切除術和食道胃吻合術。第四次手術後，她能夠正常飲食。

A 71-year-old female patient underwent multiple surgeries for primary or recurrent achalasia over 34 years. The surgeries included an initial esophago-myotomy via left thoracotomy for primary achalasia, two redo esophago-myotomies for recurrent achalasia via laparotomy, and a final surgery involving partial esophago-gastrectomy and esophago-gastrostomy via a laparotomy and thoracoscopic approach. Following the fourth surgery, she was able to swallow regular food.