Kryvchenia D Iu, Dubrovin O H
Klin Khir. 2002 Sep(8):29-32.
The results of treatment of 24 children with peptic esophageal stricture were analyzed. The treatment of the disease envisages the esophageal passability restoration together with pathogenetically substantiated prophylaxis of pathological action of gastric contents toward esophageal mucosa, formatting artificial antireflux mechanism. It is expedient to perform operative intervention after doing primarily restoration of esophageal passability and the hypotrophy and bronchopulmonary complications correction. When rigid stricture is present it must be excised. For rigid peptic esophageal stricture in children application of modified Collis operation with Nissen fundoplication constitutes the pathogenetically substantiated method of treatment.
对24例小儿消化性食管狭窄的治疗结果进行了分析。该疾病的治疗旨在恢复食管通畅性，并通过符合发病机制的方法预防胃内容物对食管黏膜的病理作用，形成人工抗反流机制。在初步恢复食管通畅性以及纠正萎缩和支气管肺并发症后进行手术干预是适宜的。当存在硬性狭窄时，必须将其切除。对于小儿硬性消化性食管狭窄，应用改良科利斯手术加尼森胃底折叠术是符合发病机制的治疗方法。
