Rao K S, Ananthakrishnan N, Banerjee A
Department of Cardiothoracic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
Aust N Z J Surg. 1988 Sep;58(9):723-6. doi: 10.1111/j.1445-2197.1988.tb01103.x.
A total of 50 consecutive patients who were treated in JIPMER Hospital between 1970 and 1981 for corrosive injuries of the oesophagus and stomach were analysed. There were 23 males and 27 females. All but seven presented with dysphagia due to an established stricture. In addition seven of them had associated stricture of the stomach. They were treated with either repeated dilatations or, in selected cases, oesophageal replacement. Perforation of the oesophagus is an important complication associated with oesophageal dilatation indicating the need for oesophageal replacement in multiple or long dense strictures. Results are quite satisfactory with both modalities of treatment. However, oesophageal replacement surgery, performed properly in selected cases, offers a permanent solution to these unfortunate victims.
对1970年至1981年间在JIPMER医院接受治疗的50例连续性食管和胃腐蚀性损伤患者进行了分析。其中男性23例,女性27例。除7例外,所有患者均因已形成的狭窄而出现吞咽困难。此外,其中7例还伴有胃狭窄。他们接受了反复扩张治疗,或在某些特定病例中接受了食管置换术。食管穿孔是与食管扩张相关的重要并发症,这表明在多处或长段致密狭窄的情况下需要进行食管置换。两种治疗方式的结果都相当令人满意。然而,在特定病例中正确进行的食管置换手术为这些不幸的患者提供了永久性的解决方案。