Raptis S, Milne D M
Thorax. 1972 Sep;27(5):599-603. doi: 10.1136/thx.27.5.599.
One hundred cases of benign stricture of the oesophagus treated over a period of 11 years from 1960 to 1971 under the care of the senior author (D.M.M.) at Frenchay Hospital Thoracic Unit are reviewed. The results indicate that the commonest site of the lesion is in the lower third of the oesophagus and that the commonest cause is peptic oesophagitis due to gastric reflux and associated hiatus hernia. As the disease is commoner in the elderly a conservative medical regimen of dilatation, antacids, and posturing is recommended as the first line of treatment. When this fails surgery is necessary. Collis (1965) managed 69 patients by gastroplasty. Belsey (1965) reported his experience with colon transplants, while Brain (1967) and Allison (1970) advised jejunal transplantation. Our experience has shown that in view of the old age and often poor physical condition of these patients resection of the stricture and oesophagogastric anastomosis is a relatively safe and simple procedure. The results obtained indicate that 25% of patients operated on will require future dilatations.
回顾了1960年至1971年这11年间，在弗伦奇医院胸科，由资深作者（D.M.M.）负责治疗的100例食管良性狭窄病例。结果表明，病变最常见的部位是食管下三分之一处，最常见的病因是胃反流和相关食管裂孔疝引起的消化性食管炎。由于该病在老年人中更为常见，建议采用扩张、抗酸剂和体位调整的保守药物治疗方案作为一线治疗方法。当这种方法失败时，则需要进行手术。科利斯（1965年）通过胃成形术治疗了69例患者。贝尔西（1965年）报告了他进行结肠移植的经验，而布雷恩（1967年）和阿利森（1970年）则建议进行空肠移植。我们的经验表明，鉴于这些患者年龄较大且身体状况往往较差，切除狭窄部位并进行食管胃吻合术是一种相对安全且简单的手术。所获得的结果表明，接受手术的患者中有25%将来需要进行扩张治疗。
