Ismael F, Tazi K, Errougani A, Mohsine R, Chkoff R, El Alami El Faricha E H, Elkhadir M, Amraoui M, Benchekroun A, Balafrej S
Service des Urgences Viscérales, CHU Ibn Sina, Rabat, Maroc.
J Chir (Paris). 1996 May;133(3):132-3.
Five patients have had an immediate recovery of the continuity after total gastrectomy for caustic necrosis by an oesophago-jejunostomy. One patient died of post operative peritonitis no linked with the oesophago-jejunostomy. Two cases had a respiratory infection and one patient had presented a jejuno-jejunostomy fistula. Three healed without sequela. The immediate recovery of the continuity after total gastrectomy for caustic necrosis with moderate lesions of the oesophagus steals the ideal therapeutic attitude.
5例因腐蚀性坏死行全胃切除术后经食管空肠吻合术立即恢复了消化道连续性。1例患者死于与食管空肠吻合术无关的术后腹膜炎。2例发生呼吸道感染,1例出现空肠-空肠吻合口瘘。3例愈合后无后遗症。对于食管有中度病变的腐蚀性坏死患者,全胃切除术后立即恢复消化道连续性是理想的治疗方法。