Collet D, Ledaguenel P, Périssat J
Service de Chirurgie Générale et Digestive, CHU de Bordeaux.
J Chir (Paris). 1995 Nov;132(11):430-3.
The authors report 4 cases of esophageal fistula following a total gastrectomy. One patient died after a reoperation for a subphrenic abscess, another just before a coloplasty 3 months after an esophageal exclusion. Two patients have been successfully treated by an operation which comprised the removal of the fistula and an intra-thoracic esophago-jejunal anastomosis. This procedure, albeit risked, is probably a better option than the esophageal exclusion usually recommended, particularly in the patients with a malignant disease who have a short life expectancy.
作者报告了4例全胃切除术后发生食管瘘的病例。1例患者因膈下脓肿再次手术后死亡，另1例在食管旷置3个月后即将进行结肠成形术时死亡。2例患者通过手术成功治疗，手术包括切除瘘管和进行胸内食管空肠吻合术。尽管该手术有风险，但可能比通常推荐的食管旷置术是更好的选择，特别是对于预期寿命较短的恶性疾病患者。
