食管结肠成形术在腐蚀性食管狭窄治疗中的应用

Gerzic Z B, Knezevic J B, Milicevic M N, Jovanovic B K

Center for Esophageal Surgery, University Clinical Center, Belgrade, Yugoslavia.

Ann Surg. 1990 Mar;211(3):329-36. doi: 10.1097/00000658-199003000-00004.

The clinical data, technical considerations, early and late post-operative complications, and long-term follow-up results of esophagocoloplasty in the management of 176 patients with postcorrosive stricture of the esophagus are presented. All 176 colon segments were placed in the isoperistaltic position. Left colon transplants were used in 66.47% and the right colon with terminal ileum was used in 33.52% of patients. The postoperative mortality rate in the entire series was 5.68%. In the past 10 years the postoperative mortality rate was reduced to 1.96%. Long-term follow-up examinations were done for 144 patients (81.81%). Excellent results were noted in 87.50%, satisfactory results in 10.41%, and poor results in 2.08% of surgically treated patients at regular yearly check-ups during a follow-up period ranging from 1 to 24 years after operation.

本文介绍了176例腐蚀性食管狭窄患者行食管结肠成形术的临床资料、技术要点、术后早期和晚期并发症以及长期随访结果。所有176段结肠均置于顺蠕动位置。66.47%的患者采用左结肠移植，33.52%的患者采用右半结肠加末段回肠移植。整个系列的术后死亡率为5.68%。在过去10年中，术后死亡率降至1.96%。对144例患者（81.81%）进行了长期随访检查。在术后1至24年的随访期间，每年定期检查发现，手术治疗患者中87.50%效果极佳，10.41%效果满意，2.08%效果不佳。