Carenfelt C, Jonsell G, Lejdeborn L, Lindholmer C, Theve N O
Acta Chir Scand. 1983;149(3):299-301.
Permanent intubation of benign oesophageal stricture seems to be rather frequently used, but there are few reports on indications and results. The limited experience from 9 intubations in 7 patients presented, is not encouraging. Massive gastro-intestinal bleeding, peptic reflux and tube migration were seen, and 4 of the tubes had to be sacrificed within 6 weeks. Two patients only had full and lasting benefit of the treatment without serious tube complication. Indwelling tubes should be considered in benign strictures only as an alternative to gastrostomy, particularly in those patients feeling strong aversion to permanent stomy.
良性食管狭窄的永久性插管似乎使用得相当频繁，但关于适应证和结果的报道却很少。本文所呈现的7例患者9次插管的有限经验并不令人鼓舞。出现了大量胃肠道出血、消化性反流和导管移位，4根导管在6周内不得不拔除。只有2例患者获得了完全且持久的治疗效果，且无严重的导管并发症。留置导管仅应作为胃造口术的替代方法用于良性狭窄，尤其是那些对永久性造口有强烈抵触情绪的患者。
