Gozner A, Stanciu D, Kirilla A, Timar I
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1978 May-Jun;27(3):213-7.
Two cases are discussed, of ulcerations that have developed on the pre-sternal tube following oesophagoplasty according to the D. Gavriliu procedure. In the first case the ulceration determined stenozing of the pre-sternal tube necessitating a by-pass at the lower end of the tube with iso-peristaltic transverse colon. In the second case an external fistula developed at the level of the ulceration. After excision and restoration of the tube continuity by suture two more ulcerative episodes were noted, that benefited from drug treatment and excision of the ulceration.
讨论了两例按照D. Gavriliu手术进行食管成形术后在胸骨前管出现溃疡的病例。第一例中,溃疡导致胸骨前管狭窄,需要在管的下端用等蠕动的横结肠进行旁路手术。第二例中,在溃疡处出现了外部瘘管。在切除并通过缝合恢复管的连续性后,又出现了两次溃疡发作,经药物治疗和溃疡切除后病情好转。