先天性食管畸形行胃管食管反蠕动手术后 40 年的食管胃功能外科治疗。
Surgical treatment of esophagogastric dysfunction forty years after reverse gastric tube esophagoplasty for congenital esophageal anomaly.
机构信息
Division of Surgical Oncology, Department of Surgery, University of North Carolina School of Medicine at Chapel Hill, Chapel Hill, NC 27599-7050, USA.
出版信息
J Pediatr Surg. 2011 Feb;46(2):399-401. doi: 10.1016/j.jpedsurg.2010.09.039.
BACKGROUND
In 1968, Burrington first described use of the reverse gastric tube esophagoplasty for esophageal replacement in children with esophageal atresia or acquired stenosis. There are few documented cases of long-term follow-up of these patients.
CASE REPORT
We describe a 41-year-old female who presented with progressive dysphagia 40 years after reverse gastric tube for a congenital esophageal stenosis as an infant. Repeated endoscopic dilations were unsuccessful in relieving her symptoms, and she subsequently underwent a modified Ivor-Lewis esophagogastrectomy with resection of the reverse gastric tube and reconstruction using her remaining gastric remnant.
CONCLUSIONS
This report describes what we believe to be the longest recorded follow-up after reverse gastric tube esophagoplasty and highlights the potential for long-term complications after surgery for congenital anomalies.
背景
1968 年，Burrington 首次描述了在患有食管闭锁或获得性狭窄的儿童中使用胃管食管反流术进行食管替代的方法。这些患者的长期随访结果鲜有文献记录。
病例报告
我们描述了一位 41 岁女性患者，她在婴儿时期因先天性食管狭窄而接受胃管反流术，40 年后出现进行性吞咽困难。反复内镜扩张未能缓解她的症状，随后她接受了改良的 Ivor-Lewis 食管胃切除术，切除了胃管反流术，并使用剩余的胃残端进行重建。
结论
本报告描述了我们认为是胃管食管反流术后最长时间的随访记录，并强调了先天性异常手术后长期并发症的可能性。
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