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幽门成形术在贲门癌行近端胃切除术后临床效果的前瞻性随机对照研究 被引量：6

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摘要 目的:探讨幽门成形术在贲门癌行近端胃切除术后的临床效果。方法:我科2008-2010年共52例贲门癌并有食管下段浸润病例,随机分为行幽门成形术组(PP组)26例,未行幽门成形术组(NO组)26例。比较两组间术后1个月、3个月及术后1年出现的胃排空延迟、胆汁返流、反流性食管炎等并发症。结果:术后1个月胃排空延迟无明显改善,PP组占19%,NO组占26.9%(P>0.05);而胆汁返流加重,PP组30.7%,NO组3.8%(P<0.05);反流性食管炎加重,PP组69.2%,NO组38.4%(P<0.05)。术后3个月及术后1年胃排空延迟、胆汁返流、反流性食管炎等症状均未见明显改善。结论:幽门成形术不能改善贲门癌术后胃排空延迟,反而加重了胆汁返流及反流性食管炎。
作者 林锡汉 庄丹 袁炜嗣 庄俊锋 刘金炎
机构地区 南方医科大学附属潮州中心医院普外一科
出处 《实用医学杂志》 CAS 北大核心 2012年第12期2025-2027,共3页 The Journal of Practical Medicine
关键词 反流性食管炎 幽门成形术 贲门癌 胃排空延迟 胆汁返流
分类号 R735.2 [医药卫生—肿瘤]
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参考文献8

  • 1Fok M,Cheng S W K,Wong J. Pyloroplasty versus no drainage in gastric replacement of the esophagus[J].American Journal of Surgery,1991,(02):447-452.
  • 2Law S,Cheung M C,Fok M. Pyloroplasty and pyloromyotomy in gastric replacement of the esophagus after esophagectomy:a randomized controlled trial[J].Journal of the American College of Surgeons,.
  • 3Khan O A,Manners J,Rengarajan A. Does pyloroplasty following esophagectomy improve early clinical outcomes[J].Interactive Cardiovascular and Thoracic Surgery,2007,(02):247-250.
  • 4Lanuti M,de Delva P E,Wright C D. Postesophagectomy gastric outlet obstruction:role of pyloromyotomy and management with endoscopic pyloric dilatation[J].European Journal of Cardio-Thoracic Surgery,2007,(02):149-153.doi:10.1016/j.ejcts.2006.11.010.
  • 5Chattopadhyay T K,Gupta S,Padhy A K. Is pyloroplasty necessary following intrathoracic transposition of stomach? Results of a prospective clinical study[J].Australian and New Zealand Journal of Surgery,1991,(03):366-369.
  • 6Bemelman W A,Taat C,Slors J F M. Delayed postoperative emptying after esophageal resection is dependent on the size of the gastric substitute[J].Journal of the American College of Surgeons,1995,(02):461-464.
  • 7Palmes D,Weilinghoff M,Colombo-Benkmann M. Effect of pyloric drainage procedures on gastric passage and bile reflux after esophagectomy with gastric conduit reconstruction[J].Langenbecks Archives of Surgery,2007,(02):135-141.
  • 8Nehra D,Howell P,Pye J K. Assessment of combined bile acid and pH profiles using an automated sampling device in gastro-oesophageal reflux disease[J].British Journal of Surgery,1998,(01):134-137.

同被引文献42

  • 1Gang Ren,Ying-Wei Chen,Rong Cai,Wen-Jie Zhang,Xiang-Ru Wu,Ye-Ning Jin.Lymph node metastasis in gastric cardiac adenocarcinoma in male patients[J].World Journal of Gastroenterology,2013,19(37):6245-6257. 被引量：8
  • 2高志清,刘正才.胃癌全胃或近端胃切除的体会(附160例报告)[J].现代肿瘤医学,2007,15(8):1150-1153. 被引量：3
  • 3陆再英,钟南山.内科学[M].7版.北京:人民卫生出版社,2008:775.
  • 4曹明,熊奇如.胃外科治疗现状[J].中国实用医学,2009,4(6):222-225.
  • 5Lanuti M,de Delva PE,Wright CD,et d.Postesophagectomy gastric outlet obstruction : role of pyloromyotomy and management with endo- scopic pyloric dilatation [J].Eur J Cardiathorac Surg,2007,31 (2): 149-153.
  • 6Saeki H,Oki E,Tsuda Y,et al.Relevance of totally laiparoscopic gastrectomy for patients with advanced gastric cancer[J].Fukuoka Igaku Zasshi,2013,104(11):405-412.
  • 7He YT,Hou J,Chen ZF,et al.Trends in incidence of esophageal and gastric cardia cancer in high-risk areas in Cllina[J].Eur J Cancer Prev,2008,17(2):71-76.
  • 8Martin JT,Mahan A,Zwischenberger JB,et al.Should Gastric Cardia Cancers Be Treated with Esophagectomy or Total Gastrectomy?A Comprehensive Analysis of 4,996 NSQIP/SEER Patients[J].J Am Coll Surg,2015,220(4):510-520.
  • 9Kunisaki C,Shimada H,Nomura M,et al.Lymph node dissection in surgical treatment for remnant stomach cancer[J].Hepatogastroenterology,2012,49(44):580-584.
  • 10Sarosiek I,Davis BR,Gomez Y,et al.Su1452 Analyses of LongTerm Follow-Up of Gastric Electrical Stimulation Therapy and Pyloroplasty for Refractory Gastroparesis[J].Gastroenterology,2015,148(4):S1-S16.

引证文献6

二级引证文献25

实用医学杂志
2012年 第12期

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