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严重腐蚀性损伤后食管和下咽的复合重建

Composite reconstruction of the esophagus and hypopharynx after severe caustic injury.

作者信息

Doolin E J

机构信息

Department of Surgery, Robert Wood Johnson Medical School at Camden, New Jersey.

出版信息

Ann Otol Rhinol Laryngol. 1994 Jan;103(1):36-40. doi: 10.1177/000348949410300106.

DOI:10.1177/000348949410300106
PMID:8291858
Abstract

The ingestion of caustic materials may cause burns and subsequent strictures of the esophagus. Depending on the extent of the injury, the stricture may require dilation, excision, or bypass with an esophageal replacement. There is also a risk of esophageal dysfunction, perforation, and malignancy. Here is presented a case of a burn so severe that the hypopharynx was deformed and the esophagus destroyed. Composite techniques restored complete gastrointestinal continuity while maintaining excellent swallowing function.

摘要

腐蚀性物质的摄入可能导致食管烧伤及随后的狭窄。根据损伤程度,狭窄可能需要扩张、切除或用食管替代物进行旁路手术。还存在食管功能障碍、穿孔和恶性肿瘤的风险。本文介绍了一例烧伤极其严重的病例,下咽变形,食管被破坏。复合技术恢复了完整的胃肠道连续性,同时保持了良好的吞咽功能。

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引用本文的文献

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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.