Wilkins E W
Ann Surg. 1980 Dec;192(6):722-5. doi: 10.1097/00000658-198012000-00005.
This study was designed to determine the risk factors and long-term results of long-segment colon replacement or bypass of the entire thoracic esophagus. One hundred patients who underwent either long-segment colon replacement or bypass of the entire esophagus were studied. Nine per cent of the patients died in the hospital. There were seven instances of colon necrosis, and an additional seven instances of transient cervical esophagocolic anastomotic leaks. Necrosis of the colon was less frequent when the left colon was used as a substitute for the esophagus. The colon has proved to be a functional and durable substitute for the esophagus in 21 of the 100 patients, who have had their esophageal substitutes for more than five years.
本研究旨在确定长段结肠替代或整个胸段食管旁路术的危险因素及长期结果。对100例行长段结肠替代或整个食管旁路术的患者进行了研究。9%的患者在医院死亡。发生7例结肠坏死，另有7例出现短暂性颈段食管结肠吻合口漏。当用左半结肠替代食管时，结肠坏死的发生率较低。在100例患者中，有21例患者的结肠已被证明是一种功能性且持久的食管替代物，这些患者使用食管替代物已超过5年。
