Osako T, Tatsumi A, Ohmoto K, Saito Y, Mogi T, Masuda A, Nonoyama A, Kagawa T, Nakamura N, Hioki K
Nihon Geka Gakkai Zasshi. 1984 Jun;85(6):592-7.
Three surgical cases of spontaneous rupture of the esophagus were reported. Case 1 was a 56-year-old man who was admitted 3 days after the onset was treated with open drainage. He had no complications whatsoever 8 years after the treatment. In case 2 (a 55-year-old man), eversion stripping of the esophagus and gastrostomy were performed 2 months after diagnosis, but esophageal reconstruction was not successful. He died of acute congestive heart failure 5 years after surgery. The Third case was a 60-year-old women whose rupture was confirmed 11 days after the onset. Cervical esophagostomy, gastrostomy and jejunostomy were performed 16 days after the rupture. Thereafter, esophageal eversion stripping and esophagogastrostomy through the posterior mediastinum were successfully carried out 2 months after the first surgery. She had no postoperative complications. Eversion stripping of the esophagus with esophagogastrostomy through the posterior mediastinum is an effective and safe method for some advanced cases of spontaneous esophageal rupture. We have not found any reports of surgical cases with spontaneous esophageal rupture treated by this approach in the literature.
报告了3例食管自发性破裂的手术病例。病例1为一名56岁男性，发病3天后入院，接受了开放引流治疗。治疗8年后他未出现任何并发症。病例2（一名55岁男性）在诊断后2个月进行了食管外翻剥脱术和胃造瘘术，但食管重建未成功。他在术后5年死于急性充血性心力衰竭。第三例是一名60岁女性，发病11天后确诊为食管破裂。破裂16天后进行了颈部食管造瘘术、胃造瘘术和空肠造瘘术。此后，在第一次手术后2个月成功进行了食管外翻剥脱术和经后纵隔食管胃吻合术。她没有术后并发症。对于一些晚期食管自发性破裂病例，经后纵隔进行食管外翻剥脱术并食管胃吻合术是一种有效且安全的方法。我们在文献中未发现采用这种方法治疗食管自发性破裂手术病例的报道。
