PDF(Pubmed)
Abstract：
UNASSIGNED: caustic pharyngoesophageal strictures are life-threatening injuries with important management difficulties, lacking clear therapeutic guidelines. The aim of this study is to evaluate the surgical procedures and outcomes of severe caustic pharyngoesophageal strictures in our institution.
UNASSIGNED: a total of 29 patients who underwent surgery for severe caustic pharyngoesophageal injury at the National Cardiothoracic Center from June 2006 to December 2018 were retrospectively reviewed. The age distribution, sex, management procedures, complications after surgery, and the outcome were analyzed.
UNASSIGNED: there were 17 males. The mean age was 11.7 years (range 2- 56 years). All patients accidentally swallowed caustic soda, except the oldest patient who ingested an unidentified substance. The treatment procedures included colopharyngoplasty in 15 (51.7%) patients, colon-flap augmentation pharyngoesophagoplasty (CFAP) in 10 (34.5%), and colopharyngoplasty with tracheostomy in 4 (13.8%). There was one case of graft obstruction from a retrosternal adhesive band and one case of postoperative reflux with nocturnal regurgitation. No cervical anastomotic leak occurred. Rehabilitative training for oral feeding was required for less than a month in most patients. Follow-up period ranged from one to twelve years. Four patients died within this period; two were immediate post-operative deaths and two occurred late. One patient was lost to follow-up.
UNASSIGNED: outcome of surgery for caustic pharyngoesophageal stricture is satisfactory. Colon-flap augmentation pharyngoesophagoplasty reduces the need for tracheostomy before surgery, and our patients start eating early without aspiration.
UNASSIGNED: a total of 29 patients who underwent surgery for severe caustic pharyngoesophageal injury at the National Cardiothoracic Center from June 2006 to December 2018 were retrospectively reviewed. The age distribution, sex, management procedures, complications after surgery, and the outcome were analyzed.
UNASSIGNED: there were 17 males. The mean age was 11.7 years (range 2- 56 years). All patients accidentally swallowed caustic soda, except the oldest patient who ingested an unidentified substance. The treatment procedures included colopharyngoplasty in 15 (51.7%) patients, colon-flap augmentation pharyngoesophagoplasty (CFAP) in 10 (34.5%), and colopharyngoplasty with tracheostomy in 4 (13.8%). There was one case of graft obstruction from a retrosternal adhesive band and one case of postoperative reflux with nocturnal regurgitation. No cervical anastomotic leak occurred. Rehabilitative training for oral feeding was required for less than a month in most patients. Follow-up period ranged from one to twelve years. Four patients died within this period; two were immediate post-operative deaths and two occurred late. One patient was lost to follow-up.
UNASSIGNED: outcome of surgery for caustic pharyngoesophageal stricture is satisfactory. Colon-flap augmentation pharyngoesophagoplasty reduces the need for tracheostomy before surgery, and our patients start eating early without aspiration.
摘要：
未经证实：腐蚀性咽食管狭窄是危及生命的损伤，具有重要的管理困难，缺乏明确的治疗指南。这项研究的目的是评估我们机构严重的腐蚀性咽食管狭窄的手术程序和结果。
UNASSIGNED：回顾性分析了2006年6月至2018年12月在国家心胸中心因严重苛性咽食管损伤而接受手术的29例患者。年龄分布,性别,管理程序，手术后的并发症，并对结果进行了分析。
未经评估：有17名男性。平均年龄为11.7岁（范围为2-56岁）。所有病人都不小心吞下了苛性钠,除了摄入不明物质的年龄最大的病人.治疗程序包括15例（51.7%）患者的咽成形术，结肠瓣增强咽食管成形术（CFAP）在10（34.5％），和气管造口术的咽喉成形术4例（13.8%）。有1例胸骨后粘连带移植物阻塞，1例术后返流伴夜间返流。无颈部吻合口漏发生。大多数患者需要口服喂养的康复训练不到一个月。随访期为1至12年。在此期间有四名患者死亡；两名是术后立即死亡，两名发生晚。一名患者失去了随访。
未经批准：腐蚀性咽食管狭窄的手术效果令人满意。结肠瓣扩张咽食管成形术减少了手术前气管造口术的需要，我们的病人开始吃得早，没有吸入。
UNASSIGNED：回顾性分析了2006年6月至2018年12月在国家心胸中心因严重苛性咽食管损伤而接受手术的29例患者。
未经评估：有17名男性。
未经批准：腐蚀性咽食管狭窄的手术效果令人满意。
