Vaysse P, Guitard J, Moscovici J, Chansou A, Voigt J J, Juskiewenski S
Chir Pediatr. 1985;26(5):274-8.
Three cases of esophageal stenosis with tracheo-bronchial remnants within the wall of the esophagus, near the cardia, are reported: two girls and one boy; in three, this anomaly contains cartilage remnants. After various procedures, esophagoplasty was necessary when the boy of the first case was fourteen. Two girls was cured by a Thal procedure with follow-up of five and four years respectively. A survey of the references found 43 other cases. This anomaly is more frequent in girls. Tracheo-bronchial remnants are located usually in the esophagus near the cardia and contains cartilage. Rarely the respiratory inclusion is seen in the middle part of the esophagus and no cartilage is then identified. The stenotic segment is lined by squamous cell epithelium and the heterotopic tracheo-bronchial structures are intramural implants. The diagnosis should be suspected in cases of esophageal obstruction presenting in childhood or adult life with a history dating back to infancy or childhood. Radiologically a short stenotic non relaxing segment is the hallmark in the distal esophageal localisation. Resection of the stenotic segment with primary anastomosis is the method of choice in the middle part of the esophagus. That procedure is a good alternative in the distal esophagus.
报告了3例食管狭窄病例，其食管壁内靠近贲门处存在气管支气管残余：2名女孩和1名男孩；在这3例中，这种异常包含软骨残余。经过各种治疗后，第一例的男孩在14岁时需要进行食管成形术。两名女孩通过Thal手术治愈，随访时间分别为5年和4年。查阅参考文献发现了另外43例病例。这种异常在女孩中更为常见。气管支气管残余通常位于食管靠近贲门处，并含有软骨。很少在食管中部见到呼吸道包涵体，且当时未发现软骨。狭窄段内衬鳞状上皮，而异位气管支气管结构为壁内植入物。对于儿童期或成人期出现食管梗阻且病史可追溯至婴儿期或儿童期的病例，应怀疑有此诊断。在影像学上，食管远端出现短的狭窄且不松弛的节段是其特征。切除狭窄段并进行一期吻合是食管中部的首选方法。该手术也是食管远端的一种良好替代方法。
