Altorjay A, Kiss J, Vörös A
Department of Surgery, Postgraduate Medical University, Budapest, Hungary.
Hepatogastroenterology. 1996 Jul-Aug;43(10):851-3.
BACKGROUND/AIMS: Every esophageal surgeon employees methods to reduce the risk of infection caused by the pool of debris and organisms proximal to a destructive esophageal lesion and to prevent distension of the viscera adjacent to the suture line of the anastomosis.
The authors report on a retrograde drainage which was devised to prevent the distension of the loop adjacent to anastomosis following esophagectomy.
This modified decompression method and simultaneous enteral feeding decreased the frequency of postoperative pulmonary complications significantly (1973-90 complication rate: 16.5% - 119/722 vs. 1990-95 complication rate: 7.7% - 17/221).
The retrograde drainage facilitates safe and effective decompression even in the recumbent position, doesn't inconvenience the patient, promotes early mobilization and can be maintained till complete recovery of the anastomosis.
背景/目的：每位食管外科医生都采用各种方法来降低由食管破坏性病变近端的碎屑和微生物池引起的感染风险，并防止吻合口缝线附近的内脏扩张。
作者报告了一种逆行引流方法，该方法旨在防止食管切除术后吻合口附近肠袢的扩张。
这种改良的减压方法和同步肠内喂养显著降低了术后肺部并发症的发生率（1973 - 1990年并发症发生率：16.5% - 119/722，而1990 - 1995年并发症发生率：7.7% - 17/221）。
逆行引流即使在卧位时也有助于安全有效地减压，不会给患者带来不便，促进早期活动，并且可以维持到吻合口完全恢复。
