Fleming J L, DiMagno E P
Dig Dis Sci. 1986 Jan;31(1):106-8. doi: 10.1007/BF01347919.
A double lumen of the distal esophagus, a presentation of an esophagogastric fistula, was found in a patient who previously had an esophageal ulcer following a Nissen fundoplication. Only one other patient in our endoscopic experience of 24 years and 37,808 endoscopies has had this complication. Another patient was found to have an esophagogastric fistula, but it was associated with carcinoma. By contrast, in the 490 patients who had a Nissen fundoplication performed from 1960 to 1983, 23 (4.7%) developed an endoscopically proven esophageal ulcer. Therefore, although a double-lumen esophagus is a rare complication after a Nissen fundoplication, ulceration uncomplicated by an esophagogastric fistula is more common. Presenting symptoms of an esophagogastric fistula may be variable, but our patient, as well as two previous case reports, had dysphagia. The diagnosis is suggested radiologically and established endoscopically.
在一名先前因尼氏胃底折叠术出现食管溃疡的患者中发现了远端食管双腔，这是食管胃瘘的一种表现。在我们24年的内镜经验以及37808例内镜检查中，只有另外一名患者出现过这种并发症。另一名患者被发现有食管胃瘘，但与癌症有关。相比之下，在1960年至1983年接受尼氏胃底折叠术的490例患者中，有23例（4.7%）出现了经内镜证实的食管溃疡。因此，尽管双腔食管是尼氏胃底折叠术后罕见的并发症，但未并发食管胃瘘的溃疡更为常见。食管胃瘘的表现症状可能各不相同，但我们的患者以及之前的两份病例报告均有吞咽困难症状。放射学检查可提示诊断，内镜检查可确诊。
