结肠移植食管斜切口吻合在高位食管狭窄中的应用

近10年我们为12例食管烧伤高位瘢痕狭窄病人行结肠移植，咽下食管斜切口吻合，男4例，女8例，年龄5－55岁，食管钡餐见颈段入口处呈漏斗状，其下呈不规则线状全食管狭窄，病程半年至两年半，术前行胃造口，食管扩张或深静脉输注营养液，结果：吻合口瘘1例，换药两周治愈，全组无手术死亡，术后随访10例生存10例，全部进食良好，无吞咽困难。

Application of Esophagocolonstomy in Upper-Esophageal Stenosis

n recent 10 years,we performed esophagocolonstomy on 12 patients with stenosis of ceryical esophagus caused by chemical bum.There were 4 males and 8 females.Their age veried from 5 to 55 years.The were admitted to our hospital 6 months to 2 and half years after the incidence of chemical bum,Barium esophagogram demonstrated funnel shaped upper orifice of the esophagus and irregular linear stenosis of the whole esophagus.Esophageal dilation to improve the passge of food,gastroctomy for tube feeding and deep intravenous infusion of nutrients were done for nutritional support before operation.There was no surgical mortality.Anastomostic leakage occurred in 1 but healed 2 weeks,Ten years follow-up found that all 10patients have no symptom of difficulty in swallowing.