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咽食管腐蚀性狭窄。咽胃造口术与结肠间置联合游离肠移植治疗的比较

Pharyngoesophageal caustic stricture. Treatment by pharyngogastrostomy compared to colon interposition combined with free bowel graft.

作者信息

Thomas A N, Dedo H H, Lim R C, Steele M

出版信息

Am J Surg. 1976 Aug;132(2):195-203. doi: 10.1016/0002-9610(76)90047-7.

DOI:10.1016/0002-9610(76)90047-7
PMID:782272
Abstract

Four cases of combined hypopharyngeal and cervical esophageal stricture secondary to caustic ingestion are presented. Although gastropharyngostomy has rarely been used for treatment of patients with caustic stricture of the pharynx and cervical esophagus, we believe that it is a useful procedure and has several advantages over use of the colon. We prefer total esophagectomy and posterior mediastinal transposition of the stomach to the neck followed by gastropharyngostomy in those patients who have minimal stomach involvement.

摘要

本文介绍了4例因腐蚀性物质摄入继发下咽和颈段食管联合狭窄的病例。尽管胃咽造口术很少用于治疗咽和颈段食管腐蚀性狭窄患者,但我们认为这是一种有用的手术方法,与使用结肠相比有几个优点。对于胃受累最小的患者,我们更倾向于行全食管切除术,将胃经后纵隔移位至颈部,然后行胃咽造口术。

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Pharyngoesophageal caustic stricture. Treatment by pharyngogastrostomy compared to colon interposition combined with free bowel graft.咽食管腐蚀性狭窄。咽胃造口术与结肠间置联合游离肠移植治疗的比较
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引用本文的文献

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Indian J Gastroenterol. 2025 Feb 21. doi: 10.1007/s12664-024-01692-1.
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Corrosive injury of the upper gastrointestinal tract: review of surgical management and outcome in 14 adult cases.上消化道腐蚀性损伤:14例成年病例的外科治疗及结果回顾
Iran J Otorhinolaryngol. 2015 Jan;27(78):15-21.
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Management of severe caustic stenosis of the hypopharynx and esophagus by ileocolic transposition via suprahyoid or transepiglottic approach. Analysis of 18 cases.
经舌骨上或经会厌途径行回结肠转位术治疗下咽和食管重度腐蚀性狭窄:18例分析
Ann Surg. 1988 Apr;207(4):439-45. doi: 10.1097/00000658-198804000-00012.
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The management of extensive corrosive esophageal strictures: do not dilate and procrastinate.广泛腐蚀性食管狭窄的处理:勿扩张及拖延。
Jpn J Surg. 1989 Mar;19(2):171-6. doi: 10.1007/BF02471581.
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Pharyngoesophageal bypass using a free jejunal graft for corrosive stricture--a case report.使用游离空肠移植治疗腐蚀性狭窄的咽食管旁路术——病例报告
Jpn J Surg. 1991 Nov;21(6):682-6. doi: 10.1007/BF02471055.