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利用胃提到胸内或颈部与食管吻合治疗食管癌已成为一种标准术式,由于其方法比较简单,故已在临床上被广泛采用,但近期和远期的效果观察表明术后有胃纳不佳、饱胀、胃液和食物反流等症状者达75％,胃食管吻合后产生消化性食管炎和食管狭窄者达61％,因食管切除不够而致癌复发者有高达46％。为了克服这些缺点,近年来有人创一些新的治疗食管癌的手术方法,国内学者正在进行的结肠代食管术,就是其中之一。这里介绍另一种新的食管手术方法——利用胃管重建食管,即用胃大弯的胃壁组成胃管与食管吻合的手术。 1905年Beck与Carrell首先提出保持左胃网膜血管完整,用胃大弯制成胃管作为胸骨前食管的报告,其后(1912年)Jianu作同样的报导,故有人称此胃管为Beck-Jianu管,1941年sweet首先应用胃管自
Using the stomach to mention intrathoracic or neck and esophageal anastomosis to treat esophageal cancer has become a standard surgical procedure. Because its method is relatively simple, it has been widely used in clinical practice, but recent and long-term results show that there are Symptoms such as poor appetite, fullness, gastric fluid and food reflux were up to 75%. Gastroesophageal anastomosis produced 61% of patients with peptic esophagitis and esophageal stenosis. Esophageal resection was not enough and carcinogenic recurrence was as high as 46%. In order to overcome these shortcomings, in recent years, some new surgical methods for the treatment of esophageal cancer have been created. One of them is the colonic esophagectomy performed by domestic scholars. Here is another new method of esophageal surgery - the use of gastric tube to reconstruct the esophagus, that is, the gastric wall composed of gastric curvature and the esophagus anastomosis surgery. In 1905, Beck and Carrell first proposed to keep the left gastric vasculature intact, and to use a large curvature of the stomach tube as a report of anterior sternal esophagus. Later, in 1912, Jianu made the same report. It was therefore called the stomach tube as a Beck. -Jianu tube, 1941 sweet first applied gastric tube