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食管闭锁的胃管食管成形术:一项随访研究。第二部分:放射学、内镜及组织学检查

Gastric tube oesophagoplasty for oesophageal atresia: a follow-up study. Part II: Radiologic, endoscopic and histologic controls.

作者信息

Pineschi A, Pini M, Torre G, Levi N

出版信息

Z Kinderchir. 1985 Feb;40(1):16-20. doi: 10.1055/s-2008-1059704.

DOI:10.1055/s-2008-1059704
PMID:3984518
Abstract

In 1982 a programme of multi-disciplinary follow-up on 12 patients that underwent a gastric tube oesophagoplasty for long-gap oesophageal atresia was started. Radiological examination, performed on all gastric tubes but one (died a few days after surgery), assessed the morphology and dynamics of gastric tube, either distally or proximally based, and stomach 2 to 8 years after surgery. Endoscopic backward exploration was performed on 7 cases, to allow a closer analysis of stomach, gastric tube mucosa and upper oesophageal stump, demonstrating that the gastric transplant is viable and almost undamaged. No evidence of oesophagitis of the proximal stump was found. Histological stainings on biopsy specimens and on sections from one post-mortem examination, showed a mild degree of dystrophy in gastric tube mucosa, progressively shading into proper gastric mucosa. No evidence of a progressive change for the worse was found in any of the 7 tubes controlled.

摘要

1982年,针对12例因长段食管闭锁接受胃管食管成形术的患者启动了一项多学科随访计划。除1例(术后数天死亡)外,对所有胃管进行了放射学检查,评估了术后2至8年胃管的形态和动力学,评估范围包括胃管远端或近端以及胃部。对7例患者进行了内镜逆行探查,以便更仔细地分析胃部、胃管黏膜和食管上段残端,结果表明胃移植存活且几乎未受损。未发现近端残端有食管炎迹象。活检标本和1例尸检切片的组织学染色显示,胃管黏膜有轻度营养不良,逐渐过渡到正常胃黏膜。在接受检查的7根胃管中,均未发现有逐渐恶化的迹象。

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Gastric tube oesophagoplasty for oesophageal atresia: a follow-up study. Part II: Radiologic, endoscopic and histologic controls.食管闭锁的胃管食管成形术:一项随访研究。第二部分:放射学、内镜及组织学检查
Z Kinderchir. 1985 Feb;40(1):16-20. doi: 10.1055/s-2008-1059704.
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Gastric tube oesophagoplasty for oesophageal atresia: a follow-up study. Part I: Clinical controls.食管闭锁的胃管食管成形术:一项随访研究。第一部分:临床对照。
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