用于食管旁路的等蠕动胃管技术
Technique for isoperistaltic gastric tube for esophageal bypass.
作者信息
Postlethwait R W
出版信息
Ann Surg. 1979 Jun;189(6):673-6. doi: 10.1097/00000658-197906000-00001.
Abstract
There has not been described a uniformly successful method for palliation of inoperable carcinoma of the esophagus, especially malignant tracheoesophageal fistula. A gastric tube formed from the greater curvature of the stomach is being evaluated for these patients. The blood supply is based on the right gastroepiploic vessels. Using a stapler, one can form a gastric tube sufficiently long to reach the hypopharynx. Placed substernally, anastomosis to the cervical esophagus is performed. In 30 patients postoperative mortality has been 13%. No tube necrosis has occurred, but anastomotic leakage has been a problem. In those patients who had esophageal bypass for palliation and were discharged from the hospital, swallowing function has been satisfactory and the average survival has been 5.2 months.
摘要
尚未有关于缓解不可切除食管癌，尤其是恶性气管食管瘘的统一成功方法的描述。目前正在为这些患者评估一种由胃大弯形成的胃管。其血供基于胃网膜右血管。使用吻合器，可以形成足够长的胃管以到达下咽。将胃管置于胸骨后，与颈段食管进行吻合。30例患者的术后死亡率为13%。未发生胃管坏死，但吻合口漏一直是个问题。在那些因姑息性目的而行食管旁路手术并出院的患者中，吞咽功能良好，平均生存期为5.2个月。
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