摘要
目的:介绍胃粘膜瓣成型预防食管胃吻合术后反流的临床应用。方法:食管、贲门癌50例,行部分食管部分胃切除,用吻合器作食管胃吻合后行胃粘膜瓣成型。结果:成型组术后无反流症状,上消化道造影及放射性核素显像表明该手术方法抗反流作用明显。食管镜检查示胃粘膜瓣成型组吻合口粘膜充血、水肿、糜烂、溃疡较常规手术组明显减轻。结论:胃粘膜瓣成型术可有效预防食管胃吻合术后胃食管反流。
Objective: To report Clinical Investigation of Gastri Mucosa Valvuloplasty to prevent gastroesophageal reflux after esophagogastrostomy. Method: Fifty patients with carcinoma of esophagus or cardia were operated in our department. Esophagogastrostomy was performed with stapling instrument after lower esophagus and cardia of stomach of each were resected. Gastric mucosa valvuloplasty was then made. Reaults: Reflux complains had not appeared in all patients. This method has obvious antireflux effection by Barium meal examination and radionuclide examination. Mucosal congestion?edema?erosion and ulcer of esophagogastric anastomosis stoma are mild by fibergastroscope examination. Conclusion: Gastri mucosa valvuloplasty may be a effective antireflux method after esophagogastrostomy
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2004年第6期334-336,共3页
Chinese Journal of Clinical Oncology
关键词
胃食管反流
食管胃吻合
胃粘膜瓣成型术
Gastroesophageal reflux Esophagogastrostomy Gastri mucosa valvuloplasty
