Utley J E, Dillon M L, Todd E P, Griffen W O, Zeok J V
J Thorac Cardiovasc Surg. 1978 Mar;75(3):373-7.
Giant tracheoesophageal fistulas complicating the management of respiratory insufficiency are often difficult to close successfully because of suture line tension and narrowing of the trachea or esophagus or both. Recovery of lung function often depends on successful diversion of gastrointestinal contents from the tracheobrachial tree. We have managed six patients with giant tracheoesophageal fistula. In three cases the lesions were related to overinflation of low-pressure balloon cuffs. The only survivors were two of three patients managed by esophageal diversion and reconstruction through extrathoracic incisions. The techniques, advantages, and disadvantages of esophageal diversion for giant tracheoesophageal fistula are presented.
巨大气管食管瘘使呼吸功能不全的治疗复杂化，由于缝合线张力以及气管或食管或两者狭窄，常常难以成功闭合。肺功能的恢复通常取决于胃肠道内容物从气管支气管树成功分流。我们已治疗了6例巨大气管食管瘘患者。3例病变与低压气囊套囊过度充气有关。仅有的幸存者是3例通过胸外切口进行食管转流和重建治疗的患者中的2例。本文介绍了巨大气管食管瘘食管转流的技术、优点和缺点。
