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Coexistence of the Megaoesophagus and Ankylosing Spondylitis - Case Report

100%
Lewandowski A., wyrobek M., geneja M.
Polish Journal of Surgery
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2007
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vol. 79
|
issue 4
322-326
EN
Megaoesophgus is the result of the disorder of peristalsis and slow decompensation of muscular layer of the oesophagus in the course of cardiospasmus. It may coexist with systemic, infectious as well as endocrinological diseases. The operating treatment of megaoesophagus is difficult. The oesophagectomy with gastroplasty of short-segment colon or jejunum interposition are usually preceded.We presented a 53-years old man with megaoesophagus and ankylosing spondylitis, which was diagnosed on basis of clinical symptoms: the high values of the total proteins - 81 g/l, IgG - 21.48 g/l, and gamma-globulin - 30.8% as well as in radiological investigation. The dysphagia lasted over 20 years and led to oesophagus dilation and loss of motor function, as well as the ulcerations of the oesophagus, which was confirmed by X-ray examination and endoscopy. In this patient jejunal oesophago-gastric bypass was made. After a year and a half gastrectasis arose and gastrojejunal anstomosis was made in order to drian the stomach. After two and half years from the first operation decrease of the dilation of light of oesophagus and good passage by upper digestive tract was obtained and confirmed by X-ray examination. During endoscopical and histological investigation healing of ulcerations was found. Ambulatory follow-up and reumatological treatment is continued.
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Training effects of Dahn Taekwondo's Spondylitis Improvement Program on ankylosing spondylitis: a case study

75%
Jung S., Park J., Johnson J. A.
Physical Activity Review
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2019
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issue 7
219-233
EN
This case study applied the Dahn Taekwondo Spondylitis Improvement Program (DTSIP) to a 30-year-old male with ankylosing spondylitis five times a week for 28 weeks. Materials and Methods: A 32-year-old male with ankylosing spondylitis underwent the Dahn Taekwondo Spondylitis Improvement Program (DTSIP), an amalgamated program of standard Western medicine practices and complementary and alternative medicine (CAM) exercises based in the oriental medicine practices of yoga and taekwondo. The subject performed the DTSIP 5 times a week for 90 minutes for 28 weeks. Results: First, blood C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and platelet levels decreased by approximately 29-71%. Second, blood leukocyte counts decreased by about 11%. Third, as a result of Bath Ankylosing Spondylitis Metrology Index (BASMI) measurement, tragus to wall (TWD), lumbar side flexion (LSF), LF (lumbar flexion), and intermalleolar distance (IMD) were improved substantially. The students' cervical vertebrae and thoracic and lumbar vertebrae ranges of motion were additionally improved. The range of motion of the shoulder and hip joint improved. Conclusions: Therefore, the DTSIP seems to have a positive effect on the inflammation, immune functions, and spine and joint range of motion in the subject of this case study. Future studies are required with a wider sample population to validate these results.
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