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近乎完全食管旷置术治疗晚期诊断的食管穿孔

Near-total esophageal exclusion in the treatment of late-diagnosed esophageal perforation.

作者信息

Ozcelik C, Inci I, Ozgen G, Eren N

机构信息

Department of Thoracic and Cardiovascular Surgery, Dicle University School of Medicine, Diyarbakir, Turkey.

出版信息

Scand J Thorac Cardiovasc Surg. 1994;28(2):91-3. doi: 10.3109/14017439409100169.

DOI:10.3109/14017439409100169
PMID:7863292
Abstract

Two cases of late-diagnosed esophageal perforation were successfully treated with near-total esophageal exclusion, using cervical T-tube esophagostomy with circumferential suture fixation of the lower arm of the T-tube. Esophageal stricture developed at the site of catgut or dexon tie. This complication can be managed with esophageal dilation. Drainage-tube gastrostomy proved to be unnecessary.

摘要

两例晚期诊断的食管穿孔患者通过近乎完全的食管旷置术成功治愈,采用颈部T形管食管造口术,并对T形管下臂进行环形缝合固定。在肠线或聚二氧六环酮结扎部位出现食管狭窄。这种并发症可通过食管扩张进行处理。事实证明,引流管胃造口术并无必要。

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