Chernousov A F, Iangiev A Kh, Domrachev S A
Khirurgiia (Mosk). 1990 Feb(2):55-60.
The results of treatment of 317 patients with concurrent burn of the esophagus and stomach are generalized. Various restorative operations were carried out in 214 of them. The pyloroplasty-type plasty with local tissues was performed in short strictures of the pylorus, cardioesophageal junction, duodenum, and the initial portion of the small intestine. Resection of the stomach after Billroth I was conducted in cicatricial affection of the distal part of the stomach. The Billroth II operation or gastroenterostomy is indicated in subtotal burn and combined cicatricial stenosis of the stomach and duodenum. Enterostomy with subsequent restorative operation is indicated in total burn of the stomach. Preoperative management with consideration for the operative risk, elaboration of a rational therapeutic tactics and improvement of operative techniques with the use of laser and microsurgical techniques facilitated a decrease in the number of complications and in the mortality rate.
对317例同时伴有食管和胃烧伤患者的治疗结果进行了总结。其中214例患者接受了各种修复手术。对于幽门、贲门食管交界处、十二指肠及小肠起始部的短缩性狭窄，采用局部组织进行幽门成形术式的整形。对于胃远端的瘢痕性病变，行毕Ⅰ式胃切除。胃和十二指肠的大面积烧伤及合并瘢痕性狭窄时，应行毕Ⅱ式手术或胃肠吻合术。胃完全烧伤时，应行肠造口术，随后进行修复手术。术前考虑手术风险进行管理、制定合理的治疗策略以及使用激光和显微外科技术改进手术技巧，有助于减少并发症的数量和降低死亡率。
