摘要
目的 探讨保留幽门的间置空肠消化道重建术在胃癌根治术中的临床效果。方法 对 32例胃上部及胃体部胃癌行幽门保留型胃切除术、空肠间置消化道重建患者进行前瞻性研究。结果 无手术死亡率和早期术后并发症。术后 3～ 6个月复查 ,患者每顿进食 2 0 0～ 30 0 g(糖类 ) ,每日进食 3～ 4次 ,平均体重丢失是术前的14 . 5 % ,均能参加轻体力劳动。经上消化道钡餐透视X线摄片、电子纤维胃镜检查发现 ,无吻合口狭窄 ,无钡剂潴留 ,无反流性食管炎。结论 保留幽门的间置空肠消化道重建术式在胃癌根治术是安全、有效的。
Objective:To investigate the effect of pylorus preserving and jejunum interposition for the reconstruction of digestive tract after proximal gastrectomy. Methods: From 1998.1～2001.1, 32 cases with gastric cancer in the upper part of the stomach were admitted and underwent proximal gastrectomy, pylorus preserving and jejunum interposition for the reconstruction of digestive tract. The clinical data of these patients were reviewed. Results: There was no opertive mortality rate and no early postopertive complications.From three months to half a year after the operation, patients have a diet of 200-300g (saccharide), 3-4 times per day, mean weight loss was 6±2.4kg of the initial bodyweight and all can take light physical labour.With barium meal fluoroscopy and X-ray skiagram of the upper digestive tract,there were no anastomotic stoma narrowing, no retension of the barium and no reflux esophagitis. Conclusion: The reconstruction of digestive tract after proximal gastrectomy using pylorus preserving and jejunum interposition is safe and effective.
出处
《泰山医学院学报》
CAS
2004年第6期625-626,共2页
Journal of Taishan Medical College
关键词
胃切除术
保留幽门
消化道重建
胃肿瘤/外科学
Gastrectomy
Pylorus preserving
Digestive tract reconstruction
Stomach neoplasm/Surgery
