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食管贲门癌切除术后食管胃吻合口狭窄,亦为严重并发症之一,其发生率为0.5～5.9％。本文复习国内文献作一报道。吻合口狭窄的原因包括瘢痕形成和局部肿瘤复发。疤痕狭窄多因吻合口瘘、疤痕愈合、吻合技术不当及返流性食管炎等。吻合口狭窄多发生在术后第4周,术后3～6个月疤痕更为坚韧。术后早期吻合口狭窄也可因吻合口水肿而引起。钡餐造影吻合口小于0.7cm,进半流质困难者,则为吻合口狭窄。按照吻合口狭窄的程度分为:轻度(0.7～0.5cm);中度(0.5～0.3cm);重度(<0.3cm)。按照吻合
The esophagogastric anastomotic stenosis following esophageal and cardiac cancer resection is also one of the serious complications, with an incidence of 0.5 to 5.9%. This article reviews domestic literature for a report. Causes of anastomotic stenosis include scarring and local tumor recurrence. Scar stenosis is mostly due to anastomotic leakage, scar healing, improper anastomosis, and reflux esophagitis. Anastomotic stenosis occurred at the 4th week after operation, and the scar was tougher at 3 to 6 months after operation. Early postoperative anastomotic stenosis can also be caused by anastomotic edema. Barium meal contrast anastomosis is less than 0.7cm, into semi-liquid difficulties, then anastomotic stenosis. According to the degree of anastomotic stenosis is divided into: mild (0.7 ~ 0.5cm); moderate (0.5 ~ 0.3cm); severe (<0.3cm). In accordance with