Misiuna P, Dabrowski A, Chmurzyński M, Zinkiewicz K, Maciejewski R
Kliniki Chirurgii Ogólnej II Katedry Chirurgii Akademii Medycznej w Lublinie.
Wiad Lek. 1997;50(7-9):180-3.
In our Department 22 patients were treated due to esophagus perforations in the years 1990-1996. Most of them (16) occurred after endoscopic examinations: diagnostic-3, after strictures dilatation-10, endoscopic intubation-2, sclerotherapy-1, transesophageal cardioversion-1. There were 5 intraoperative perforations: 3-after cardiomyotomy, 2-after intubation. The following treatment was performed: oesophageal suture and drainage-5 patients, subtotal oesophagectomy with oesophagogastrostomy-3 patients, oesophagectomy with salivary fistula and oesophago-gastro or -colostomy in second operation--9 patients, perforation covered with gastric fundus--3, intubation--1 patient, conservative treatment--1 patient. Four (18%) patient died.
1990年至1996年间，我科共收治22例食管穿孔患者。其中大多数（16例）发生在内镜检查后：诊断性检查后3例，狭窄扩张后10例，内镜插管后2例，硬化治疗后1例，经食管心脏复律后1例。术中穿孔5例：贲门肌切开术后3例，插管后2例。采取了以下治疗措施：食管缝合及引流5例，次全食管切除及食管胃吻合术3例，一期食管切除形成唾液瘘，二期行食管胃或食管结肠吻合术9例，胃底覆盖穿孔处3例，插管1例，保守治疗1例。4例（18%）患者死亡。
