Volobuev N N, Belokon' A Iu, Borisenko V A, Gusarov V G
Klin Khir. 2002 Jan(1):20-2.
Experience of surgical treatment of 48 patients with postburn cicatricial gastric stenosis was presented. In 28 of them the combined gastric and esophageal stricture were reveal. Gastric resection according to Billroth-I was performed in 26 patients, gastroduodenostomy according to Finney--in 4, gastric resection according to Hoffmeister-Finsterer--in 5, gastroenterostomy according to Belfler-Brown--in 10 and other operations--in 3. One patient died. For the treatment of combined stricture esophageal passability was restored using bougienage, optimally--along the ring-like thread-guide, conducted, while performing gastric operation, through the mouth, esophagus, stomach and brought out via microgastrostomy.
介绍了48例烧伤后瘢痕性胃狭窄患者的外科治疗经验。其中28例发现合并胃和食管狭窄。26例行毕Ⅰ式胃切除术，4例行芬尼胃十二指肠吻合术，5例行霍夫迈斯特 - 芬斯特勒胃切除术，10例行贝尔弗勒 - 布朗胃肠吻合术，3例行其他手术。1例患者死亡。对于合并狭窄的治疗，通过探条扩张恢复食管通畅性，最佳方法是沿环形线引导器进行，在进行胃部手术时，经口腔、食管、胃插入并通过微型胃造口引出。
