Fisher J, Payne W S
Mayo Clin Proc. 1984 Mar;59(3):197-201. doi: 10.1016/s0025-6196(12)60773-3.
A patient who had sustained lye burns of the esophagus had undergone reconstruction with a colon interposition. Because of necrosis and stricture of the interposed colon, he was unable to manage salivary secretions and was maintained on gastrostomy feedings. The defect from the pharynx to the midmanubrial level was reconstructed with a free jejunal graft by using microvascular surgical techniques. At 18-month follow-up, barium swallow roentgenography showed flow through the jejunal and colonic segments and into the stomach. The patient gained 15.9 kg postoperatively and was able to consume a normal diet.
一名食管被碱液烧伤的患者接受了结肠代食管重建术。由于置入的结肠发生坏死和狭窄,他无法处理唾液分泌,依靠胃造口喂养维持。采用微血管外科技术,用游离空肠移植修复了从咽部到胸骨柄中部水平的缺损。在18个月的随访中,吞钡X线造影显示钡剂通过空肠段和结肠段流入胃内。患者术后体重增加了15.9千克,能够正常饮食。