Miller R E, Tiszenkel H I
Surgical Service, St. Luke's-Roosevelt Hospital Center, New York, New York 10025.
Surg Gynecol Obstet. 1988 May;166(5):458-60.
The initial treatment for achalasia in most centers is pneumatic dilation (PD). The most significant complication of PD is esophageal perforation (EP). During the past ten years, six patients were noted to have EP after PD at St. Luke's-Roosevelt Hospital Center. The cornerstone of treatment is early diagnosis. Operative repair, including suture of the perforation and modified Heller esophagomyotomy without anti-reflux procedure, is preferred. Details of this operation are presented. We have successfully managed five patients with EP after PD. A sixth patient died of unrecognized EP.
在大多数医疗中心，贲门失弛缓症的初始治疗方法是气囊扩张术（PD）。PD最严重的并发症是食管穿孔（EP）。在过去十年间，圣卢克-罗斯福医院中心有6例患者在接受PD后发生了EP。治疗的关键在于早期诊断。首选手术修复，包括穿孔缝合以及改良的Heller食管肌层切开术且不进行抗反流手术。本文介绍了该手术的详细情况。我们已成功治疗了5例PD后发生EP的患者。第6例患者死于未被识别的EP。
