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对采用英克韦尔食管胃吻合术切除良性食管狭窄患者的长期随访。

A long-term follow-up of patients resected for benign esophageal stricture using the Inkwell esophagogastrostomy.

作者信息

Wara P, Oster M J, Funch-Jensen P, Andresen J, Ottosen P

出版信息

Ann Surg. 1979 Aug;190(2):214-7. doi: 10.1097/00000658-197908000-00014.

Abstract

A total of 45 patients have undergone an Inkwell esophagogastrostomy after resection of a benign esophageal stricture. Nineteen patients were available for a long-term follow-up study, showing evidence of gastroesophageal reflux in 16 patients. Due to the high incidence of reflux and subsequent morphologic changes, there was a not negligible late disability. The Inkwell esophagogastrostomy can no longer be recommended in the treatment of an underlying reflux-induced lesion, strictures included.

摘要

共有45例患者在良性食管狭窄切除术后接受了因克韦尔食管胃吻合术。19例患者可进行长期随访研究,其中16例有胃食管反流的证据。由于反流及随后形态学改变的发生率较高,晚期残疾情况不可忽视。因克韦尔食管胃吻合术不再推荐用于治疗包括狭窄在内的潜在反流性病变。

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本文引用的文献

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Simplified management of reflux esophagitis with stricture.伴有狭窄的反流性食管炎的简化管理
Ann Surg. 1970 Oct;172(4):638-51. doi: 10.1097/00000658-197010000-00010.
8
An operative technique for the control of reflux following esophagogastrostomy.
J Thorac Cardiovasc Surg. 1969 Nov;58(5):668-77 passim.
9
Conservative operations for peptic esophagitis with stenosis in columnar-lined lower esophagus.
Ann Thorac Surg. 1972 Jun;13(6):543-51. doi: 10.1016/s0003-4975(10)65171-5.

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