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传统的近端胃切除术难以控制反流,术后反酸、烧灼感等消化液反流症状给病人带来持久的痛苦,饮食受限,发生营养不良甚至衰竭。我科开展了保留贲门的近端胃切除术和环状襻式单通道间置空肠近端胃切除术已6年余,截至2010年9月,已完成保留贲门的近端胃切除术40例,环状襻式单通道间置空肠近端胃切除术102例,基本上消除了传统近端胃切除术后的反流等问题,同时极大地减少了全胃切除的概率,远端残胃得以保留,改善了营养状态。通过核素检测发现,术后6
Traditional proximal gastrectomy is difficult to control reflux, postoperative acid reflux, burning and other symptoms of digestive fluid reflux to patients with long-lasting pain, limited diet, malnutrition occurs and even failure. Our department has carried out the proximal gastric gastrectomy cardia retention and ring-shaped single-channel intercostal space between the proximal jejunum has more than 6 years, as of September 2010, has been completed to retain cardia proximal gastrectomy in 40 cases , The ring-shaped single-channel interposition of proximal esophageal gastrectomy in 102 cases, basically eliminating the traditional proximal gastrectomy reflux and other issues, while greatly reducing the probability of total gastrectomy, distal residual stomach To be retained, improve the nutritional status. By radionuclide testing found that after 6