Watson A
Br J Surg. 1987 Jun;74(6):443-8. doi: 10.1002/bjs.1800740603.
Benign oesophageal stricture remains a common problem. Following accurate diagnosis, early treatment allows dilatation in the great majority of patients. Resection can frequently be avoided and in fit patients dilatation should be combined with an anti-reflux operation plus gastroplasty where necessary. Frail elderly patients may be managed by continued dilatation and medical means to reduce and combat the effects of reflux. Resection should now be necessary in only about 5 per cent of patients and colonic interposition offers good long-term results. It must be remembered that adenocarcinoma is a small but real risk in patients with reflux stricture.
良性食管狭窄仍然是一个常见问题。准确诊断后，早期治疗可使绝大多数患者接受扩张治疗。通常可以避免切除手术，对于身体状况良好的患者，必要时扩张治疗应与抗反流手术及胃成形术相结合。体弱的老年患者可通过持续扩张及药物治疗来减轻和对抗反流的影响。目前仅约5%的患者需要进行切除手术，结肠代食管术可取得良好的长期效果。必须记住，反流性狭窄患者发生腺癌的风险虽小但确实存在。
