Groitl H, Pimpl W, Lux W, Wagner W
Wien Med Wochenschr. 1983 Sep 15;133(17):421-4.
Palliative surgical treatment of malignant oesophago-gastric strictures has been disappointing. Resections in an advanced tumor stage are heroic interventions with a high mortality rate. Alimentary fistulas do not release from annoying saliva regurgitation but unnecessarily mutilate the terminal patient. The positioning of a tube under endoscopic control into the constricting neoplasma has the following advantages: 1. deglutition and saliva drainage are restored; 2. morbidity- and mortality rate is low; 3. duration of hospitalization is brief (1-2 days).
恶性食管胃狭窄的姑息性外科治疗效果一直不尽人意。在肿瘤晚期进行切除手术是高死亡率的大胆干预措施。消化道瘘并不能消除令人烦恼的唾液反流,反而会不必要地伤害终末期患者。在内镜控制下将导管置入狭窄的肿瘤部位有以下优点:1. 恢复吞咽和唾液引流;2. 发病率和死亡率低;3. 住院时间短(1 - 2天)。