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Prevention of postoperative gastroesophageal reflux by preservation of lower esophageal sphincter in partial esophagectomy.
作者姓名:严煜  陈荫椿  石仲歧  王永保  刘志远  董汉宣  刘俊华  易庚华
作者单位:DivisionofCardiothoracicSurgeryAffiliatedHospital,NantongMedicalCollege,DivisionofCardiothoracicSurgeryAffiliatedHospital,NantongMedicalCollege,DivisionofCardiothoracicSurgeryAffiliatedHospital,NantongMedicalCollege,DivisionofCardiothoracicSurgeryAffiliatedHospital,NantongMedicalCollege,DivisionofCardiothoracicSurgeryAffiliatedHospital,NantongMedicalCollege,DivisionofCardiothoracicSurgeryAffiliatedHospital,NantongMedicalCollege,DivisionofCardiothoracicSurgeryAffiliatedHospital,NantongMedicalCollege,DivisionofCardiothoracicSurgeryAffiliatedHospital,NantongMedicalCollege Nantong226001,Nantong226001,Nantong226001,Nantong226001,Nantong226001,Nantong226001,Nantong226001,Nantong226001
摘    要:
Postoperative reflux esophagitis is a common complicationafter partial removal of the esophagus and the whole gastriccardia for reconstruction through esophagogastrostomy. In 10cases, the lower esophageal sphincter (LES) was preserved fora length of 2.05± 0.33cm ((?)±S)during partialesophagectomy for benign or malignant lesion at the middleand lower portion of the thoracic esophagus. The mean valueof the LES pressures measured two weeks after operations was2.40±0.64 kPa (18± 4.8 mmHg) and the postoperative X-raybarium meal examination revealed no evidence ofgastroesophageal reflux. Our study suggested that the pre-served LES should effectively act as a functional barrieragainst the development of reflux esophagitis.

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