Langer P, Nies C, Rothmund M
Klinik für Allgemeinchirurgie, Klinikum der Philipps-Universität Marburg.
Chirurg. 1999 Aug;70(8):939-42. doi: 10.1007/s001040050747.
Esophagectomy for esophageal carcinoma is associated with significant morbidity. Long-term survival rates are usually poor. Common problems in the early postoperative period are pulmonary complications and leakage at the collar anastomosis causing local infection, sepsis and subsequent anastomotic strictures. There are only a few reports in the literature about benign ulcerations in the gastric tube after resection of the esophagus for carcinoma. We report a patient with a huge benign ulcer in the gastric tube penetrating into the right lung 9 years after esophagectomy for carcinoma. Several aspects of possible etiologic factors and different prophylactic approaches as well as therapeutic aspects are discussed.
食管癌的食管切除术会带来严重的并发症。长期生存率通常较低。术后早期的常见问题是肺部并发症以及颈部吻合口漏，导致局部感染、脓毒症及随后的吻合口狭窄。关于食管癌食管切除术后胃管出现良性溃疡的文献报道较少。我们报告一例食管癌食管切除术后9年胃管出现巨大良性溃疡并穿透至右肺的患者。文中讨论了可能的病因、不同的预防方法以及治疗方面的几个问题。
