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作者等自1978年底至1986年10月,对9例既不能手术切除,又无法游离胃作转流的、梗阻性食管下段及贲门癌患者,施行带蒂空肠拌行食管、空肠、胃分路转流术,或食管——空肠——空肠Roux-Y吻合术,现总结报告如下:临床资料本组9例,男性5例,女性4例,年龄46～76岁,平均年龄58岁。其中食管下段癌2例,贲门癌7例。患者术前均有食管梗阻症状,锁骨上淋巴结均未触及。经稀钡餐检查:4例呈线状缓慢进入胃腔、食管下段潴留,代偿扩张。7例食管镜检查,插至35～40cm处不能前进,见凹凸不平的赘生物突向腔内,致使食管腔、贲门狭窄梗阻。病理活检,5例腺癌,2例食管下段为鳞癌,(其它2例术后
From the end of 1978 to October 1986, the authors performed a jejunal-jejunated esophageal, jejunal, and gastric bypass route on nine patients with obstructive esophageal and cardiac cancers who could not undergo surgical resection and had no free gastrostasis. Transflow, or esophagus - jejunum - Roux-Y jejunostomy, summary report is as follows: Clinical data in this group of 9 cases, 5 males and 4 females, aged 46 to 76 years, mean age 58 years. Among them, there were 2 cases of lower esophageal cancer and 7 cases of cardiac cancer. All patients had esophageal obstruction before surgery and no supraclavicular lymph nodes were touched. After thin barium meal examination: 4 cases were slowly entered the stomach cavity, esophageal lower retention, compensatory expansion. 7 cases of esophagoscopy, can not be inserted into the 35 ~ 40cm, see rugged vegetation suddenly protruding into the cavity, resulting in obstruction of the esophagus cavity, cardiac stenosis. Pathological biopsy, 5 cases of adenocarcinoma, 2 cases of squamous cell carcinoma in the lower esophagus, (2 cases of postoperative