Department of Surgery, Université de Montréal, Division of Thoracic Surgery, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
Dis Esophagus. 2012 May;25(4):319-30. doi: 10.1111/j.1442-2050.2010.01157.x. Epub 2010 Dec 17.
Despite symptom improvement offered to achalasia patients by either pneumatic dilation or surgical myotomy, 10% to 15% of those so treated will present progressive deterioration of their esophageal function and up to 5% may eventually require an esophagectomy. The natural evolution of achalasia to its end stage as well as the timing of esophagectomy in these patients form the basis of this review. The optimal reconstruction for the decompensated resected esophagus will also be explored: gastric interposition, colon interposition, and jejunal interposition all have their respective advantages and disadvantages. Their use is examined in the exclusive context of resection for achalasia.
尽管气囊扩张或手术肌切开术可为贲门失弛缓症患者提供症状改善，但仍有 10%至 15%的患者会出现食管功能进行性恶化，多达 5%的患者最终可能需要进行食管切除术。本综述的基础是贲门失弛缓症发展到终末期的自然演变以及这些患者行食管切除术的时机。还将探讨失代偿性切除食管的最佳重建方法：胃间置、结肠间置和空肠间置都有各自的优缺点。仅在为贲门失弛缓症而行切除术的情况下，对它们的使用进行了检查。
