Ti T K, Sivaloganathan V
Br J Surg. 1978 Apr;65(4):256-8. doi: 10.1002/bjs.1800650412.
An 8-year experience of the surgical treatment of 28 patients with corrosive oesophageal stricture is reviewed. Eight patients underwent oesophageal bypass using colonic or jejunal graft with one death (12.5 per cent mortality). The single death (5 per cent mortality) among 20 patients undergoing oesophageal resection was not related to the technical difficulty of the operation. In 17 of these patients reconstruction was by cervical oesophagogastrostomy and in 2 by pharyngogastrostomy. One case of oesophageal carcinoma occurred among 5 cases of corrosive stricture exceeding 20 years in duration. Oesophageal resection for severe corrosive stricture is not a hazardous procedure as generally believed and is desirable in view of the pre-malignant nature of corrosive stricture. Reconstruction by cervical oesophagogastrostomy after oesophageal resection is advantageous because of its relative simplicity and safety.
回顾了28例腐蚀性食管狭窄患者的8年手术治疗经验。8例患者采用结肠或空肠移植行食管旁路手术，1例死亡（死亡率12.5%）。20例行食管切除术的患者中有1例死亡（死亡率5%），这与手术的技术难度无关。其中17例患者通过颈部食管胃吻合术重建，2例通过咽胃吻合术重建。在病程超过20年的5例腐蚀性狭窄患者中发生了1例食管癌。对严重腐蚀性狭窄行食管切除术并非如普遍认为的那样是一种危险的手术，鉴于腐蚀性狭窄的癌前性质，这种手术是可取的。食管切除术后通过颈部食管胃吻合术重建具有优势，因为其相对简单且安全。
