摘要
目的了解近端胃切除或全胃切除后间置空肠的消化道重建术 ,预防术后返流性食管炎的情况。方法 1995～ 2 0 0 0年共收治 30例贲门癌患者 ,对Henley消化道重建术式作了技术改进 ,将代胃的空肠长度增加至 4 0cm以上 ,术后行食管胃肠造形 ,胃镜检查 ,取组织活检及返流液的pH测定。 结果改良的Henley术式符合正常的生理通道 ,操作简便易行 ,并发症少 ,术后生活质量好。结论空肠间置术做为贲门癌切除 (全胃切除或近端胃切除 )消化道重建术式 ,可有效预防返流性食管炎的发生。
ObjectiveTo better prevent reflux esophagitis in cardiac carcinoma patients undergoing proximal or total gastrectomy.Method From 1995～2000, 30 cardiac carcinoma patients were admitted and underwent proximal or total gastrectomy, modified Henley procedure was adopted with the length of the interpositioned jejunum used to replace the stomach being at least 40 cm. Postoperative GI series, gastroscopy, tissue biopsy, pH determination of reflux fluid were performed as means of evaluation. ResultModified Henley operation is more conformed to the physiology of GI tract with less complications and better postoperative quality of life.Conclusion Modified Henley procedure works better than traditional procedures for the GI reconstruction of patients undergoing proximal or total gastrectomy.
出处
《中华普通外科杂志》
CSCD
北大核心
2003年第5期276-278,共3页
Chinese Journal of General Surgery
