What's With The Stomach Tube Bulge?

Hello. About half of patients with leiomyomas have no symptoms at all and are found by chest X-ray or GI angiography for other conditions. There are many mild symptoms, the most common is mild hypopharyngeal dyspnea, rarely affect normal diet. The course of the disease can last from several months to more than a decade, and even if the tumor is quite large, the symptoms of obstruction are not severe because it develops slowly. Surgical treatment: Although leiomyoma is a benign disease, it may be potentially malignant. Generally, the growth is slow, but the lesions continue to progress, and can compress the surrounding tissues to produce a series of complications when they are large. Therefore, in addition to older, smaller tumors, no obvious symptoms, poor cardiopulmonary function can not tolerate surgery or patients refuse surgery can be followed up, otherwise, once the diagnosis is clear, surgical treatment is advocated. Choice of incision: The surgical approach is determined according to the tumor site, so detailed X-ray localization examination should be performed before operation. The polypoid leiomyoma pedicle is mostly in the neck esophagus, and the pharyngeal or cervical oblique incision is taken. A right anterolateral or posterolateral incision was made in the upper esophagus. Left or right posterolateral thoracotomy incision was made in the middle and lower segments. Operation method: Most feasible mucosal tumor excision. Preoperative gastric tube without lateral orifice (cut off the distal segment of gastric tube with lateral orifice). After thoracotomy, the esophagus was free near the tumor according to the position known by preoperative X-ray examination. After palpating the tumor, the esophagus was gently pulled out from the mediastinum with a belt. At the most elevated point of the tumor, that is, where the muscle layer was thin, the muscle layer was separated longitudinally in the direction of blunt muscle fibers to expose the tumor. After finding the interface, the tumor was carefully separated along the outer membrane to avoid damage to the mucosa.

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