Bender E M, Walbaum P R
Ann Surg. 1987 Apr;205(4):385-8. doi: 10.1097/00000658-198704000-00007.
Eighty-nine patients who had resection of benign esophageal stricture with esophagogastrostomy were reviewed through medical records and by mailed questionnaire. The 30-day mortality rate was 8.9%. Seventy-six patients were available for follow-up for an average of 66.4 months (Group 1). Forty-three of these patients were followed up for longer than 5 years (Group 2). The incidence of postoperative heartburn in Groups 1 and 2 was 7.9% and 7.0%, respectively. The incidence of postoperative dysphagia in Groups 1 and 2 was 39.4% and 30.2%, respectively, with most episodes occurring within 2 years of operation. The vast majority of these patients required multiple esophageal dilatations over a long time. The high rate of restricture precludes support for the routine use of an esophagogastric anastomosis after resection of benign esophageal stricture.
通过病历回顾和邮寄问卷的方式，对89例行食管胃吻合术切除良性食管狭窄的患者进行了研究。30天死亡率为8.9%。76例患者可供随访，平均随访时间为66.4个月（第1组）。其中43例患者随访时间超过5年（第2组）。第1组和第2组术后烧心的发生率分别为7.9%和7.0%。第1组和第2组术后吞咽困难的发生率分别为39.4%和30.2%，大多数发作发生在术后2年内。这些患者中的绝大多数需要长期多次进行食管扩张。狭窄发生率高，不支持在良性食管狭窄切除术后常规使用食管胃吻合术。
