Case report and literature review of surgical management of esophageal calculus after failed endoscopic stone removal / 国际外科学杂志

ABSTRACT

Objective:To investigate the clinical characteristics and therapeutic strategies of huge esophageal stones.Methods:One patient with esophageal esophageal calculus admitted to Beijing Friendship Hospital, Capital Medical University, who failed in undergoing endoscope treatment and shifted to an operation were retrospectively analyzed, and analyzed and summarized in combination with relevant literature.Results:The patient has significant dysphagia and severe malnutrition requiring further medical intervention. CT examination found that the lower esophagus was incarcerated with huge stones, and gastroscopy showed stones were obstructing the lumen, esophageal polyps and muscle bridges under the stones.Because the stones were large and hard, multiple endoscopic stone removal failed, and then the stones were successfully removed by thoracic surgery. The patient recovered well after surgery and had no complications such as anastomotic leakage or stenosis.Conclusions:Esophageal stones are easy to cause obstruction, and even lead to perforation, so it should be actively managed clinically. For patients with esophageal stones who have failed multiple endoscopic stone removals, thoracotomy can be used as a further treatment.