摘要
目的探讨胆囊切除术后上消化道症状与食管功能障碍的关系。方法胆囊切除术患者37例,于术前及术后3个月接受食管测压,24 h胃、食管pH监测和内镜检查。结果胆囊切除术后46%的患者出现上消化道症状,并发现术后胃食管反流明显增加,胃内碱性反流增加。结论胆囊切除术后上消化道症状多为食管源性,其发生与胃食管反流有密切关系。
AIMS To examine the effects of cholecystectomy on esophageal function. METHODS Esophageal and gastric pH monitoring, manometry, and endoscopy were performed in 37 patients (male 5, female 32, mean age 44 yenrs old) before and three months after cholecystectomy. RESULTS Forty-six percent of patients were symptomatic after operation. The incidence of gastroesophageal reflux increased significantly. CONCLUSIONS Cholecystectomy results in gastroesophageal reflux and many of the symptoms after surgery appear to have an esophageal origin.
关键词
胆囊切除术
外科手术
食管功能
cholecystectomy gastroesophagcal reflux esophageal diseases
