Zubarev P N, Kobak M E
Vestn Khir Im I I Grek. 1991 May;146(5):16-9.
50 patients with carcinomas or corrosive strictures of the esophagus were operated upon with the simultaneous esophagogastroplasty. At the same time the primary provisional jejunostomy after Witzel was performed on 20 of them in order to ensure an adequate decompression and nutrition at the early postoperative period. In cases of dangerous complications (fistulas of esophagogastrostomies--in 37%, purulent mediastinitis or empyemas--in 14% etc.) the use of jejunostomy allows enteral nutrition to be prolonged up to the moment of the independent oral feeding. It is concluded that the formation of primary jejunostomy for curative and prophylactic purposes is expedient in the simultaneous reconstructive esophageal operations for tumors and strictures.
50例患有食管癌或食管腐蚀性狭窄的患者接受了同期食管胃成形术。同时，其中20例患者进行了维泽尔式一期临时空肠造口术，以确保术后早期充分减压和营养支持。在出现危险并发症的情况下（食管胃吻合口瘘占37%，脓性纵隔炎或脓胸占14%等），使用空肠造口术可使肠内营养维持到能够自主经口进食之时。得出的结论是，在针对肿瘤和狭窄的同期重建性食管手术中，出于治疗和预防目的进行一期空肠造口术是适宜的。
