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[反流综合征及继发性短食管并发症的治疗]

[Treatment of the complications of the reflux syndrome and secondary brachyesophagus].

作者信息

Imre J M

出版信息

Zentralbl Chir. 1979;104(16):1040-4.

PMID:525080
Abstract

Two surgical methods are compared: resection of the stricture and replacement by large bowel (out of 64 cases, 63 were elective and one emergency), and the usual anti-reflux procedures (13 cases). In this series the mortality rate and the functional results are reported as more favourable after resection and replacement by bowel, than with more conservative surgical methods, generally considered to be less risky. In the 63 elective operations (resection of the oesophageal stricture and replacement by a segment of isoperistaltic large bowel) there was no mortality; one patient operated because of acute bleeding died. After antireflux operations of 13 cases two patients died because of surgical complications two others as a result of nonsurgical ones.

摘要

比较了两种手术方法

狭窄切除术及大肠替代术(64例中,63例为择期手术,1例为急诊手术),以及常规抗反流手术(13例)。在该系列研究中,报告显示与通常被认为风险较低的更保守手术方法相比,肠道切除及替代术后的死亡率和功能结果更佳。在63例择期手术(食管狭窄切除术及一段顺蠕动大肠替代术)中无死亡病例;1例因急性出血接受手术的患者死亡。13例抗反流手术后,2例患者因手术并发症死亡,另外2例因非手术原因死亡。

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