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本文报道用气囊导管支撑、扩张食管腔施行食管胃或食管空肠吻合术45例。吻合前切去病变段食管、术野暴露清楚、术中污染少;食管腔撑开、食管壁自然松弛、回缩增厚、富有弹性、粘膜舒展外翻、利于施行吻合术。术后发热反应小、进食早、术后2周每餐进食(半流质)50～100g。无吻合口瘘、无吻合口狭窄。34例施行食管胃成形吻合术后钡餐 X 线检查,平卧位均无返流。其中20例又作了360°回旋式钡餐 X 线检查,有15例(75%)多种体位均未见返流,其中8例作了胃镜检查,均能顺利通过1.2cm 以上胃镜,并看到吻合口下缘三角形抗返流作用的胃瓣。
This article reported the use of balloon catheter support, expansion of the esophagus cavity for esophagogastric or esophageal jejunostomy in 45 cases. Before the anastomosis, the esophagus was cut off, the operative field was clearly exposed, and there was less intraoperative contamination; the esophageal cavity was opened, the esophageal wall was naturally relaxed, the retraction was thickened, the elasticity was elastic, the mucosa was stretched and eversion, and the anastomosis was facilitated. Postoperative febrile reactions were small, eating early, 2 weeks after surgery, eating (semi-liquid) 50 ~ 100g. No anastomotic fistula, no anastomotic stenosis. In 34 patients who underwent esophagogastrostomy and postoperative barium meal examination, there was no reflux in the supine position. Twenty patients also performed a 360° convoluted barium meal X-ray examination. There were no regurgitation in 15 cases (75%) of various body positions. Among them, 8 cases had gastroscopy and were able to successfully pass 1.2cm or more gastroscopes. Gastric flap with anti-reflux effect to the lower edge of the anastomosis.