摘要
目的 探讨胃癌全胃切除后理想的消化道重建方式.方法 对行P型空肠袢重建消化道的87例胃癌患者进行分析.观察进食情况、症状和体质量变化.结果 全组无手术死亡,1年生存率91.2%.饮食均改善,无食后反流症状,体质量均有增加.结论 P型空肠袢重建消化道术式操作相对简便、安全,极少发生反流性食管炎和倾倒综合征,基本上能够替代胃的储存功能和营养功能,是全胃切除术后较为理想的消化道重建方式.
Objective To investigate an ideal way to reconstruct the digestive canal after total gastrectomy. Methods The clinical data of 87 cases with gastric cancer confirmed by pathology were retrospectively analyzed between May 2003 and Jan 2009, and every patient was subjected to P style of total gastrectomy and digestive canal reconstruction by using jejunum. The diet,symptoms and the body weight were observed. Results In the 87 cases, there was no death causalgia behind sternum. During the follow-up period in the patients with the survival time more than one year, the meal habit was recovered. No reflux symptom was found. The body weight increased in all patients. Conclusions P style operation in gastric cancer is easy and safe to perform. Reflux esophagitis and dumping syndrome seldom developed. ＂P＂jejunal ansa basically played the role in preservation and nutrition of stomach,so this was an ideal way to reconstruct the digestive canal after total gastrectomy.
出处
《中国基层医药》
CAS
2010年第13期1757-1758,共2页
Chinese Journal of Primary Medicine and Pharmacy
