Fulton R L, Garrison R N, Polk H C
Arch Surg. 1979 Jan;114(1):90-1. doi: 10.1001/archsurg.1979.01370250092020.
Perforation of the esophagus during placement of esophageal tubes for palliation of obstructing inoperable cancer is a well-known complication that may preclude satisfactory amelioration of symptoms. Experience with two such patients suggests that the complication can best be treated by proper placement of the tube so that it seals the leak and bypasses the obstruction. Judicious use of antibiotics is beneficial. Drainage of the mediastinum may also be necessary. Resectional or extensive operative therapy is probably not wise in these ill and debilitated patients, particularly if the cancer is incurable.
在为无法手术切除的梗阻性癌症进行姑息治疗而放置食管管时，食管穿孔是一种众所周知的并发症，可能会妨碍症状得到满意改善。对两名此类患者的经验表明，对于该并发症，最佳治疗方法是正确放置食管管，使其封闭漏口并绕过梗阻部位。明智地使用抗生素是有益的。纵隔引流可能也有必要。对于这些病情严重且身体虚弱的患者，尤其是癌症无法治愈的患者，进行切除或广泛的手术治疗可能并不明智。
