Seto Yasuyuki, Yamada Kazuhiko, Fukuda Takashi, Hosoi Norihito, Takebayashi Ryusuke, Chin Keisho, Kotsuka Takuyo, Gomi Kotaro, Yamaguchi Toshiharu
Gastroenterological Division, Cancer Institute Hospital, 3-10-6 Ariake, Koto-ku, Tokyo, 135-8550, Japan.
Am J Surg. 2007 Jun;193(6):792-3. doi: 10.1016/j.amjsurg.2006.07.023.
Esophageal bypass with a gastric tube and a cardiostomy is a method recently devised for malignant esophagorespiratory fistula. This method separates completely the alimentary and respiratory tracts. Four patients underwent these procedures. No operative deaths occurred, nor was there any anastomotic leakage or disruption of the excluded esophagus. The average survival time was 7 months. However, all patients were allowed to consume food orally up to the last moment of life. This bypass procedure is simple and safe to perform, and is thus a feasible treatment choice for patients with such fistulas.
采用胃管和贲门造口术进行食管旁路手术是最近为恶性食管气管瘘设计的一种方法。该方法完全分离了消化道和呼吸道。4例患者接受了这些手术。无手术死亡病例，也未发生吻合口漏或被旷置食管破裂。平均生存时间为7个月。然而，所有患者直至生命最后一刻都允许经口进食。这种旁路手术操作简单且安全，因此是此类瘘患者可行的治疗选择。
