Humans ; Plummer-Vinson Syndrome/drug therapy* ; Carcinoma ; Hypopharyngeal Neoplasms/surgery*

No abstract available.
Plummer-Vinson Syndrome*

Plummer-Vinson syndrome is characterized by dysphagia, iron deficiency anemia, and upper esophageal web. The associated symptoms can be resolved by administering iron supplements as well as by endoscopic intervention. Relapse in patients with Plummer-Vinson syndrome is very rare. We describe a case of a 42-year-old woman with Plummer-Vinson syndrome whose symptoms were successfully treated with endoscopic dilatation and iron supplementation at first admission; however, 1 year later, she revisited our hospital because of dysphagia. On second admission, investigations revealed esophageal web relapse in Plummer-Vinson syndrome. She was again successfully treated with endoscopic dilatation and iron supplementation. After first admission, her anemia was not normalized due to poor compliance and loss of follow-up. We experienced a case of esophageal web relapse due to uncorrected iron deficiency anemia in a patient with Plummer-Vinson syndrome. This experience indicates that continuous iron supplementation and long-term follow-up is important in patients with Plummer-Vinson syndrome.
Adult ; Anemia ; Anemia, Iron-Deficiency ; Compliance ; Deglutition Disorders ; Dilatation ; Female ; Follow-Up Studies ; Humans ; Iron ; Plummer-Vinson Syndrome* ; Recurrence

Plummer-Vinson syndrome is characterized by dysphagia, iron deficiency anemia, and upper esophageal web. The associated symptoms can be resolved by administering iron supplements as well as by endoscopic intervention. Relapse in patients with Plummer-Vinson syndrome is very rare. We describe a case of a 42-year-old woman with Plummer-Vinson syndrome whose symptoms were successfully treated with endoscopic dilatation and iron supplementation at first admission; however, 1 year later, she revisited our hospital because of dysphagia. On second admission, investigations revealed esophageal web relapse in Plummer-Vinson syndrome. She was again successfully treated with endoscopic dilatation and iron supplementation. After first admission, her anemia was not normalized due to poor compliance and loss of follow-up. We experienced a case of esophageal web relapse due to uncorrected iron deficiency anemia in a patient with Plummer-Vinson syndrome. This experience indicates that continuous iron supplementation and long-term follow-up is important in patients with Plummer-Vinson syndrome.
Adult ; Anemia ; Anemia, Iron-Deficiency ; Compliance ; Deglutition Disorders ; Dilatation ; Female ; Follow-Up Studies ; Humans ; Iron ; Plummer-Vinson Syndrome* ; Recurrence

Plummer-Vinson syndrome manifests as cervical dysphagia, iron deficiency anemia, an upper esophageal web, and atrophic glossitis. The cause of the esophageal web is thought to be iron deficiency anemia; however, the cause of Plummer-Vinson syndrome has not been established. Crohn's disease is usually accompanied by malnutrition and iron deficiency anemia; however, no case of concomitant Crohn's disease and Plummer-Vinson syndrome with aggravated malnutrition and anemia has been previously reported. Here, we report on a rare case of Plummer-Vinson syndrome in a Crohn's disease patient, which caused malnutrition and constipation.
Adult ; Cobblestone Lissencephaly/diagnosis ; Colon, Sigmoid/surgery ; Crohn Disease/complications/*diagnosis ; Esophageal Sphincter, Upper/radiography ; Humans ; Male ; Plummer-Vinson Syndrome/*diagnosis/etiology ; Sigmoidoscopy ; Sphincterotomy, Endoscopic ; Tomography, X-Ray Computed

Plummer-Vinson syndrome is a complex syndrome characterized by upper esophageal webs, dysphagia, and iron deficiency anemia. This syndrome develops principally in middle-aged women, and only rarely in patients over age 80. We present a case of Plummer-Vinson syndrome occurring in an 82-year-old woman who visited the hospital because of progressive dysphagia. Esophagogram and endoscopic examination showed an upper esophageal web, and laboratory examination revealed iron deficiency anemia. Dysphagia improved after endoscopic balloon dilatation, and iron deficiency anemia improved after iron supplementation. Even Plummer-Vinson syndrome can be improved by sufficient amounts of oral ferrous sulfate and endoscopic balloon dilatation, it is important to identify the cause of iron deficiency anemia and to check for the presence of malignant disease. The common causes of anemia differ between middle-aged and elderly women, and the clinician needs to look for malignancy-induced chronic gastrointestinal tract blood loss and chronic inflammatory diseases. We report a rare case of Plummer- Vinson syndrome in a woman over 80 years of age.
Aged ; Aged, 80 and over ; Anemia ; Anemia, Iron-Deficiency ; Deglutition Disorders ; Dilatation ; Female ; Ferrous Compounds ; Gastrointestinal Tract ; Humans ; Iron ; Plummer-Vinson Syndrome

Adolescent ; Female ; Humans ; Pancreatic Neoplasms ; complications ; pathology ; Plummer-Vinson Syndrome ; complications ; pathology

Plummer-Vinson syndrome comprises the triad of dysphagia, iron-deficiency anemia and postcricoid esophageal web. Its report in our country is very rare. A 39-year-old woman developed dysphagia and odynophagia progressively for 10 years from solid meal to a liquid. Endoscopy revealed a pink-colored membrane and a pin-point, eccentric opening present just below the upper esophageal sphincter. Esophagography with barium contrast revealed a thin, eccenteric, radiolucent bar across the esophagus on the level of thoracic inlet and partial obstruction is suggested by dilatation of the proximal portion of esophageal web. For relief of dysphagia, endoscopic bougienage was planned. After endoscopic bougienage, it was allowed passage of endoscope to distal esophagus and she felt good for swallowing of solids. Endoscopic bougienage should be considered in Plummer-Vinson syndrome with severe stenotic lesions whose clinical condition is worsening in spite of tranditional supportive care.
Adult ; Anemia, Iron-Deficiency ; Barium ; Bays ; Deglutition ; Deglutition Disorders ; Dilatation ; Endoscopes ; Endoscopy ; Esophageal Sphincter, Upper ; Esophagus ; Female ; Humans ; Meals ; Membranes ; Plummer-Vinson Syndrome*

No abstract available.
Plummer-Vinson Syndrome*

Plummer-Vinson syndrome (sideropenic dysphagia) is characterized by dysphagia due to an upper esophageal or a hypopharyngeal web in a patient with chronic iron deficiency anemia. The main cause of dysphagia is the web of the cervical esophagus, and an abnormal motility of the pharynx or the esophagus is found to play a significant role in the above cause. Patients with this syndrome are thought to be precancerous because squamous cell carcinomas of the hypopharynx, oral cavity, or esophagus take place in 10% of those patients. However, for Plummer-Vinson syndrome to be combined with gastric cancer is most unusual. We report the case of a 43-year-old woman who was first found to have stomach cancer under a diagnosis of Plummer-Vinson syndrome and who recovered after surgery.
Adult ; Anemia, Iron-Deficiency ; Carcinoma, Squamous Cell ; Deglutition Disorders ; Diagnosis ; Esophagus ; Female ; Humans ; Hypopharynx ; Mouth ; Pharynx ; Plummer-Vinson Syndrome* ; Stomach Neoplasms*