Orringer M B, Kirsh M M, Sloan H
Ann Thorac Surg. 1977 May;23(5):409-16. doi: 10.1016/s0003-4975(10)64159-8.
In the past three years 21 patients have required esophageal replacement for benign disease: 6 patients with caustic stricture, 5 with reflux esophagitis, 5 with neuromotor abnormalities, 2 with strictures following radiation therapy, 1 with iatrogenic perforation, 1 with monilial esophagitis, and 1 with esophageal atresia. Esophageal substitution was achieved using isoperistaltic left colon 17 patients and stomach in 4. The preoperative evaluation, postoperative complications, and results of esophageal replacement in these patients are discussed. Changing trends in the benign conditions requiring esophageal substitution are reviewed.
在过去三年中，21例患者因良性疾病需要进行食管置换：6例为腐蚀性狭窄，5例为反流性食管炎，5例为神经运动异常，2例为放射治疗后狭窄，1例为医源性穿孔，1例为念珠菌性食管炎，1例为食管闭锁。17例患者采用顺蠕动左结肠进行食管置换，4例采用胃进行食管置换。讨论了这些患者的术前评估、术后并发症及食管置换结果。回顾了需要进行食管置换的良性疾病的变化趋势。
