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1.
Anesthesia and Pain Medicine ; : 151-154, 2012.
Article in Korean | WPRIM | ID: wpr-58153

ABSTRACT

Achalasia is a rare motor disorder of the esophagus, characterized by the absence of peristalsis and impaired lower esophagus sphincter relaxation. The exact etiology remains unclear. Stasis of ingested food in esophagus lead to clinical symptoms such as dysphagia, regurgitation, retrosternal pain and weight loss. We report a case of regurgitation during general anesthesia in thyroid cancer patient with achalasia of esophagus. Despite having per oral endoscopic myotomy 6 months ago, the patient presented regurgitation and aspiration pneumonitis. The patient recovered after a week of antibiotics therapy.


Subject(s)
Humans , Anesthesia, General , Anti-Bacterial Agents , Deglutition Disorders , Esophageal Achalasia , Esophagus , Peristalsis , Pneumonia , Relaxation , Thyroid Neoplasms , Weight Loss
2.
Korean Journal of Anesthesiology ; : 179-183, 2012.
Article in English | WPRIM | ID: wpr-83299

ABSTRACT

Prader-Willi syndrome is characterized by infantile hypotonia, childhood-onset obesity, short stature, mental retardation, hyperphagia, hypogonadism. After infantile hypotonia phase, patient is prone to morbid obesity due to hyperphagia. Complications associated with morbid obesity are recognized as the main risk factors for death the lifespan of patients with Prader-Willi syndrome. We experienced desaturation and bronchospasm during arteriovenous fistula surgery in an obese adult with Prader-Willi syndrome.


Subject(s)
Adult , Humans , Arteriovenous Fistula , Bronchial Spasm , Hyperphagia , Hypogonadism , Intellectual Disability , Muscle Hypotonia , Obesity , Obesity, Morbid , Prader-Willi Syndrome , Risk Factors
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