horn-shaped silicone tube placement therapy after esophagectomy anastomotic leakage and stenosis（喇叭状硅胶管置入治疗食管切除术后吻合口漏和狭窄）.docVIP

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horn-shaped silicone tube placement therapy after esophagectomy anastomotic leakage and stenosis（喇叭状硅胶管置入治疗食管切除术后吻合口漏和狭窄）.doc

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horn-shaped silicone tube placement therapy after esophagectomy anastomotic leakage and stenosis（喇叭状硅胶管置入治疗食管切除术后吻合口漏和狭窄）

Horn-shaped silicone tube placement therapy after esophagectomy anastomotic leakage and stenosis [Keywords] trumpet-shaped silicone Keywords: horn-shaped silicone tube; anastomotic leakage and stenosis; esophageal cancer 0 Introduction Treatment of esophageal anastomotic leakage and stenosis in 8 cases 1995-10/1997-10 homemade trumpet-shaped medical silicone tube insertion method, we obtain satisfactory results are as follows: 1 Clinical data 1.1 patient data in 8 patients, 7 cases of chest esophagus underwent esophagectomy, 6 cases of stomach esophagus, a routine colon in; 6 cases of cervical anastomosis after 6 ~ 10d anastomotic fistula, including three cases by the conventional treatment that local dressing, anti-infective and nutritional support for the treatment of the 1mo around healing, anastomotic stricture caused the dysphagia treatment ineffective after repeated expansion; remaining three cases in one cases (for colon in after conventional treatment 3mo unhealed, the two cases 1wk unhealed; intrathoracic anastomosis anastomotic stenosis after repeated expansion of the therapeutic effect of the poor; cases of esophageal chemical burn scars narrow nickel titanium memory alloy stent granulation long into the lumen recurrence after implantation narrow, not to unplug is also not satisfied with the expansion. 1.2 treatment situation 1.2.1 trumpet-shaped silicone tube for my hospital ENT medical silicone system, (such as Fig1 main part of diameter 0.6 to 1.5cm length of of 3 ~~ 5cm one end of the trumpet-shaped, the maximum outer diameter of 2 to 3cm. Figure 1 omitted 1.2.2 placement method ① anesthesia intubation; ② rigid esophagoscopy first observation of the fistula or narrow the location and size range; ③ esophageal lumen to 0.6 ~ 1.5cm diameter expanders; ④ hard esophageal endoscopic tube placement appropriate diameter stent lumen, the body portion over the fistula or stenosis at 1 ~ 2cm, trumpet-shaped end is placed proximal t