Hantke D R, Hoover L A, Zuckerbraun L
Division of Head and Neck Surgery, UCLA School of Medicine 90024.
Arch Otolaryngol Head Neck Surg. 1988 Apr;114(4):457-9. doi: 10.1001/archotol.1988.01860160101031.
Despite continuing advances in the surgical and nutritional management of esophageal perforation, morbidity and mortality remain significant. Described within is the successful management of two such cases by the physiologic exclusion of the esophagus. By this, we mean distal decompression and proximal diversion and decompression through a gastrostomy and cervical esophagostomy. This provides the greatest chance for protection of the esophageal suture line repair.
尽管在食管穿孔的手术和营养管理方面不断取得进展，但发病率和死亡率仍然很高。本文描述了通过食管生理性排除法成功治疗两例此类病例的情况。我们所说的生理性排除法，是指通过胃造口术和颈部食管造口术进行远端减压以及近端转流和减压。这为保护食管缝合线修复提供了最大机会。
