<trans-title xml:lang="en"/>_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

梅董昱 ,  严志龙

上海交通大学医学院附属上海儿童医学中心普外科（上海 200127）;

Corresponding author：

严志龙, Email: dryanzhilong@163.com

Keywords：

儿童; 先天性食管下段狭窄; 气管支气管软骨; 胃底折叠术

DOI：

10.7507/1002-1892.201611117

Video：

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目的总结 Collis 联合胃底折叠术治疗 2 例儿童先天性食管下段狭窄的诊治体会。方法 2015 年 12 月及 2016 年 6 月收治 2 例先天性食管下段狭窄男性患儿，年龄均为 2 岁；均有反复呕吐史，伴营养不良。其中 1 例因重度营养不良行胃造瘘术，8 个月后行该次手术。术前 2 例均行食管下端球囊扩张 1 次无效。行 Collis 术联合胃底折叠术，同时行幽门成形。结果 2 例手术均顺利完成，手术时间分别为 120、180 min，术中出血量 15、20 mL。狭窄段组织病理检查提示为异位气管支气管软骨。术后 1 周上消化道造影示吻合口无狭窄及漏，无明显胃食管反流。2 例患儿均获随访，均开始进普食，无吞咽困难；体质量较术前明显增加。术后 6 个月上消化道造影检查示吻合口通畅。结论 Collis 联合胃底折叠术是治疗儿童先天性食管下段狭窄的一种较好方法，合理的手术方案设计和手术精细化操作，可以减少术后并发症。

Citation： 梅董昱, 严志龙. . Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(3): 379-381. doi: 10.7507/1002-1892.201611117 Copy

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1. Amae S, Nio M, Kamiyama T,et al. Clinical characteristics and management of congenital esophageal stenosis: A report on 14 cases. J Pediatr Surg, 2003, 38(4): 565-570.
2. Gilger MA, Tolia V, Vandenplas Y,et al. Safety and tolerability of esomeprazole in children with gastroesophageal reflux disease. J Pediatr Gastroenterol Nutr, 2015, 60 Suppl 7: S16-23.
3. Nihoul-Fékété C, De Backer A, Lortat-Jacob S,et al. Congenital esophageal stenosis. Pediatr Surg Int, 1987, 2: 86-92.
4. Kurian JJ, Jehangir S, Varghese IT,et al. Clinical profile and management options of children with congenital esophageal stenosis: A single center experience. J Indian Assoc Pediatr Surg, 2016, 21(3): 106-109.
5. 尹传高, 汪松, 王昶, 等. 球囊扩张成形术在小儿食管狭窄中的应用. 介入放射学杂志, 2014, 23(12): 1083-1088.
6. Savino F, Tarasco V, Viola S,et al. Congenital esophageal stenosis diagnosed in an infant at 9 month of age. Ital J Pediatr, 2015, 41: 72.
7. Chahine AA, Campbell AB, Hoffman MA. Management of congenital distal esophageal stenosis with combined Collis gastroplasty-Nissen fundoplication. Pediatr Surg Int, 1995, 10(1): 23-25.
8. Rebelo PG, Ormonde JV, Ormonde Filho JB. Congenital esophageal stenosis owing to tracheobronchial remnants. Rev Paul Pediatr, 2013, 31(3): 406-410.

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