Maillet P, Baulieux J, Boulez J, Dumurgier C
J Chir (Paris). 1977;114(6):443-50.
Out of a series of 103 patients operated on for peptic stenosis of the oesphagus, we carried out 63 conservative operations, 29 by the thoracic route, 34 by the abdominal route. The operation consists of retrograde dilatation, by finger or by instrument, combined with an anti-reflux arrangement. Among the various technics of the latter, plicature of the fundus has proved the most effective. Gradually, the indications for the abdominal approach have become dominant, even if the cardia cannot be lowered. One may then use a sleeve on the gastric cone, which until now, in 23 cases has given excellent results. One may thus carry out by an extremely benign operation without any mortality, a surgical cure not only of supple stenoses, but also of certain tight fibrous stenoses, considered insuperable. Postoperative dilation was rarely necessary. The results of which some are 8 years old, seem stable in the vast majority of cases. The proportion of excellent results was 81 p. cent of the series. It was higher in the group of plicatures of the fundus where there were only two failures. No case of cancer was observed in the remaining oesphagus.
在接受食管消化性狭窄手术的103例患者中，我们实施了63例保守手术，其中29例采用经胸途径，34例采用经腹途径。手术包括通过手指或器械进行逆行扩张，并结合抗反流装置。在后者的各种技术中，胃底折叠术已被证明是最有效的。逐渐地，即使贲门不能下移，经腹入路的适应证也已占主导地位。此时可以在胃圆锥上使用套管，到目前为止，在23例病例中已取得了优异的效果。因此，可以通过一种极其良性且无死亡率的手术，不仅治愈柔软的狭窄，还能治愈某些被认为无法克服的紧密纤维性狭窄。术后很少需要扩张。其中一些结果已有8年，在绝大多数病例中似乎是稳定的。优良结果的比例占该系列的81%。在胃底折叠术组中更高，该组仅有两例失败。在剩余的食管中未观察到癌症病例。
