Petrin G, Ruol A, Santi S, Renier M, Buin F, Anselmino M, Cagol M, Ancona E
Clinica Chirurgica Generale IV, Università degli Studi di Padova.
Ann Ital Chir. 1998 Jul-Aug;69(4):513-9; discussion 519-20.
From 1990 to 1995, 187 patients underwent esophagectomy and esophagogastrostomy with the anastomosis performed inside the chest using a circular stapler. Twenty-three patients (12.3%) developed an anastomotic stricture. The incidence of anastomotic stricture was inversely related to the diameter of the stapler. Also concomitant cardiovascular diseases, morpho-functional disorders of the tubulized stomach (possible related to duodeno-gastric reflux) and neoadjuvant chemotherapy were recognized as significant risks factors. Endoscopic dilations were safe and effective in the treatment of anastomotic strictures.
1990年至1995年期间，187例患者接受了食管切除术及食管胃吻合术，采用圆形吻合器在胸腔内进行吻合。23例患者（12.3%）发生吻合口狭窄。吻合口狭窄的发生率与吻合器直径呈负相关。同时，心血管疾病、管状胃的形态功能障碍（可能与十二指肠-胃反流有关）以及新辅助化疗被认为是重要的危险因素。内镜扩张治疗吻合口狭窄安全有效。
