Uchida Y, Hashimoto T, Matsumoto K, Noguchi T
Department of Surgery II, Oita Medical University, Japan.
Nihon Geka Gakkai Zasshi. 1997 Nov;98(11):958-64.
In many cases, reflux esophagitis following surgical treatment for esophageal stenosis is caused by the recurrence of that after esophagectomy and esophogogastrostomy. We performed a new management without esophagectomy for a 66-year-old man with sliding hiatal hernia and esophageal stenosis induced by reflux esophagitis. A Expanding Metalic Stent (MES) was inserted to the stenotic portion of the esophagus, and then Collis-Nissen's procedure was done through left thoracotomy and phrenotomy. The postoperative course was satisfactory, and no gastroes-ophageal reflux was detected with the use of 24h pH-monitoring of the esophagus after surgery.
在许多情况下，食管狭窄手术治疗后发生的反流性食管炎是由食管切除及食管胃吻合术后的复发所致。我们对一名66岁患有滑动性食管裂孔疝及反流性食管炎所致食管狭窄的男性患者，实施了一种不进行食管切除的新治疗方法。在食管狭窄部位置入一枚可扩张金属支架（MES），然后通过左胸开胸及膈切开术进行科利斯-尼森手术。术后病程顺利，术后通过对食管进行24小时pH监测未检测到胃食管反流。
