全胃切除功能性空肠代胃术68例临床分析

目的：分析全胃切除术后功能性空肠代胃作消化道重建手术方式的疗效。方法：回顾性分析2003年1月～2007年12月施行全胃切除功能性空肠代胃术68例患者的临床资料。结果：部分病例出现轻度反流性食管炎、消化不良或肠功能障碍,均可缓解。所有患者术后体重、血红蛋白、清蛋白、总蛋白量均增加。结论：全胃切除功能性空肠代胃术是一种安全可靠、效果满意的手术方式。

Analysis of functional jejunal anastomosis after total gastrectomy for 68 patients

Objective：To study the postoperative reconstruction of functional jejunal anastomosis after total gastrectomy. Methods：From January 2003 to December 2007,68 patients who were received reconstruction of functional jejunal anastomosis after total gastrectomy were retrospectively analyzed. Results：The least symptoms with reflux esophagitis,dyspepsia or gastrointestinal dysfunction were occurred in some patients,and could be relieved after symptomatic treatment. The nutrition indicators with patients body weight,hemachrome,blood albumin,serum total protein were improved. Conclusion：The functional jejunal anastomosis is a safe and effective surgery method,and is optimum after total gastrectomy.