Reconstructive operation with transpositional colon behind sternum for esophageal stricture after corrosive burns
- VernacularTitle:经胸骨后隧道间置结肠代食管治疗腐蚀性食管烧伤后瘢痕狭窄
- Author:
Xu-Chen MA
;
Song-Lei OU
;
Zhi-Tai ZHANG
;
Yan-Sheng HU
;
Fei-Qiang SONG
;
Shao-Yan ZHANG
;
- Publication Type:Journal Article
- Keywords:
Esophageal stenosis;
Colon;
Tissue transplantation
- From:
Chinese Journal of General Practitioners
2005;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize clinical experience of reconstructive operation with transpositional colon behind the sternum after corrosive esophageal burns and to explore the treatment for its complications.Methods Clinical data of 65 cases with esophageal scarred stricture after corrosive burns receiving reconstructive operation with transpositional colon behind the sternum were reviewed,56 of them by end-to-end anastomosis between transpositional anterograde peristaltic colon and esophagus,seven by end-to- end anastomosis between transpositional anterograde peristaltic colon and pharyngeal fundus,and two by end- to-end anastomosis between transpositional reversed peristaltic colon and esophagus,to summarize treatment experiences in pre-operation,operation and post-operation.Results Fifty-one of this group of patients recovered and discharged form the hospital smoothly,12 with cervical anastomotic leakage after operation including two cured by re-operation and ten cured by conservative treatment,and two with necrosis of transpositional colon including one died during operation and the other cured.Conclusions Corrosive burns of esophagus can be cured by leaving scarred stricture esophagus open without resection,and the effectiveness of reconstructive operation with transpositional colon behind the sternum is satisfactory with good pre-operative preparation,correct surgical operation,and correct post-operative treatment.
