Wayand E, Wayand W
Zentralbl Chir. 1976;101(8):466-9.
From 1961 to 1974 19 esophagoduodenostomies have been performed after total gastrectomy. One patient died postoperatively because of pulmonary embolism. The mean survival rate was 16,4 months. In far advanced gastric carcinomas an elongation and dilatation of the duodenum favours this kind of anastomosis. In low risk patients, in the aged and for palliative gastrectomy we suggest to prove the possibility for performing an esophagoduodenostomy.
1961年至1974年间,共进行了19例全胃切除术后的食管十二指肠吻合术。1例患者术后因肺栓塞死亡。平均生存率为16.4个月。在进展期胃癌中,十二指肠的延长和扩张有利于这种吻合方式。对于低风险患者、老年患者以及姑息性胃切除术,我们建议评估施行食管十二指肠吻合术的可能性。