论文部分内容阅读
为探讨近端胃大部切除后,在重建胃肠道中能有效地抗返流性食管炎的术式,1995年5月至1997年6月,前瞻性对9例贲门癌病人,作近端胃大部切除,采用带血管蒂“P”型袢空肠段,间置于食管下段与残胃之间。术后3个月,应用食管pH监测仪作24h定位测定和纤维胃镜检查及1年的临床生活质量随访。结果表明,该术式的食管下端与“P”型袢空肠间置的吻合周围PH处于弱碱性稳定状态,未见有反酸性炎症反应,饮食状况良好。
To investigate the efficacy of anti-reflux esophagitis in reconstructing the gastrointestinal tract after proximal gastrectomy, from May 1995 to June 1997, prospectively treated 9 patients with cardiac cancer as proximal The subtotal gastrectomy was performed with a vascular pedicle “P” type hollow section of the intestine between the lower part of the esophagus and the stomach. Three months after operation, the esophageal pH monitor was used for 24h positioning and fiberoptic gastroscopy, and one-year clinical quality of life was followed. The results showed that the PH around the esophageal lower end of the procedure and the “P” type of jejunum was in a mildly alkaline stable state, no anti-acidic inflammatory reaction was observed, and the diet was in good condition.