解决颈部食管切开术的老问题。

T J Balkany, M L Wong, B W Jafek
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A solution to the old problem of cervical esophagotomy.
Nasogastric (NG), gastrostomy, and cervical esophagotomy tube feedings have been used successfully. The advantages of cervical esophagotomy have been well established in over 300esophagotomies at the University of Colorado Medical Center. Esophagotomy tube feeding is, however, associated with tube feeding esophagitis and stricture formation. The pathophysiologic mechanisms of this phenomenon include (1) the presence of a tube traversing the gastroesophageal junction which permits acid peptic reflux and (2) standard polyethylene and red rubber feeding tubes which cause a profound local tissue reaction.'
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