Moorehead R J, Wong J
Department of Surgery, University of Hong Kong, Queen Mary Hospital.
Hepatogastroenterology. 1990 Aug;37(4):364-7.
In 760 resection and bypass procedures for esophageal cancer, 30 patients (3.9%) developed gangrene in the esophageal substitute. The incidence in resection cases was similar to those who were bypassed. The important factors in its development were the length and type of organ used as an esophageal substitute. Gangrene was almost exclusively seen when the upper anastomosis was in the neck; the lowest incidence occurred when stomach was used (1%), while the highest was seen with jejunum (11.3%) and colon (13.3%).
在760例食管癌切除和旁路手术中，30例患者（3.9%）的食管替代物发生了坏疽。切除病例的发生率与接受旁路手术的患者相似。其发生的重要因素是用作食管替代物的器官的长度和类型。坏疽几乎仅见于上吻合口在颈部的情况；当使用胃时发生率最低（1%），而空肠（11.3%）和结肠（13.3%）的发生率最高。
