Earlam R, Cunha-Melo J R
Br J Surg. 1982 Feb;69(2):61-8. doi: 10.1002/bjs.1800690202.
A review of the different designs for palliative oesophageal intubation tubes confirms Souttar's original suggestion that they should be flexible, incompressible, non-traumatic, compact, have an adequate lumen and stay in place. The internal diameter should be at least 10 mm. The thickness of the wall should be about 1 mm. The length will vary according to the stricture and should be as short as possible, provided that the proximal rim prevents future longitudinal growth occluding the lumen. Various methods of achieving the ability to stay in place are described, which comprise either a large proximal rim or a roughened barrel. No details about results are given because the original patient populations vary so much. Success probably depends more on the technical expertise and experience of the surgeon than specific variations in design.
对姑息性食管插管不同设计的回顾证实了索塔尔最初的建议，即这些插管应具备柔韧性、不可压缩性、无创伤性、结构紧凑、有足够的管腔并能固定在位。内径应至少为10毫米。管壁厚度应为约1毫米。长度将根据狭窄情况而有所不同，且应尽可能短，前提是近端边缘可防止未来纵向生长导致管腔堵塞。文中描述了实现固定在位能力的各种方法，包括一个大的近端边缘或一个粗糙的管身。由于最初的患者群体差异很大，未给出关于结果的详细信息。成功可能更多地取决于外科医生的技术专长和经验，而非设计上的具体差异。
