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我院自1998年应用Savary-Gilliard扩张器扩张治疗食管贲门部狭窄患者110例,共206次,认为是一种安全有效的治疗方法。其中1例导丝嵌顿在胃内造成患者手术切开胸腔于胃内取出导丝。报告如下。 患者,男性,65岁,7月前在我院行食管贲门癌根治术,3月前出现吞咽困难,诊断为术后吻合口狭窄,应用Savary-Gilliard扩张器扩张,每月1次,已扩张2次,因再次出现咽物困难,欲行第3次扩张治疗来诊。胃镜发现食管与胃吻合口狭窄处上缘距门齿26 cm,狭
Our hospital since 1998, the use of Savary-Gilliard dilator expansion of esophageal and cardial stenosis in 110 patients, a total of 206 times, that is a safe and effective treatment. Including a guide wire incarcerated in the stomach caused by surgery in patients with thoracotomy remove the guide wire in the stomach. The report is as follows. Patients, male, 65 years old, had esophageal and cardiac resections in our hospital prior to July 7th. Dysphagia occurred 3 months prior to the diagnosis of anastomotic stenosis and was expanded with the Savary-Gilliard dilator once a month. 2 times, due to recurrence of pharynx difficulties, want to line the third expansion of treatment. Gastroscopy found esophageal and gastric anastomotic stenosis at the margin from the incisors 26 cm, narrow