Surgical management of cervical anastomotic stricture of the esophagus
- VernacularTitle:颈段食管吻合口狭窄的手术治疗
- Author:
Bojun WEI
;
Xiaoli ZHU
;
Hong SHEN
;
Ziwen LIU
;
Xiaowei WANG
;
Peihong PENG
- Publication Type:Journal Article
- Keywords:
Esophagus;
Anastomosis,Surgical;
Esophageal Stenosis
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2006;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To study and evaluate the surgical management of cervical anastomotic stricture of the esophagus and its efficiency. METHODS Cervical anastomotic stricture resulted from colon by-pass for patients with esophagus stricture due to corosive in 5 cases,and gastric pull-up in 3 with esophagus carcinoma,one patient suffered serious esophagus stricture at its upper end because of previous radiation,and failed to the anastomoticplasty RESULTS All of them failed to respond to prior dilation. Anastomoticplasty was used in 6 of them,local flap,colon by-pass and jejunal free flap interposition was chosen based on the patient's situation. The operation got succeeded at its first time in seven patients,and at its second time in two cases. Normal oral feeding was restored in seven of them,and semiliguid feeding in the other two. CONCLUSION Surgical treatment is reliable in dealing with patients with problem of anastomotic stricture of the cervical esophagus.
