全胃切除连续间置空肠代胃消化道重建术

目的]探讨连续间置空肠代胃消化道重建术在全胃切除后的应用价值.方法]对2000年1月至2002年3月间26例全胃切除连续间置空肠代胃术的临床资料进行分析.结果]全组病人无手术死亡和吻合口瘘发生.随访12个月至25个月,平均17.4个月.其中钡餐检查11例,代胃容量均在300ml以上,排空时间为30min～120 mm.术后6个月、12个月出现反流性食管炎分别为6例和2例.与术前相比,术后生活质量有所提高.结论]连续间置空肠代胃术是全胃切除消化道重建的理想术式,手术操作简便省时,可取得较好的生活质量.

Gastrointestinal Reconstruction by Continuous Jejunal Interposition after Total Gastrectomy

To study the value of digestive tract reconstruction by continuous jejunal interposition after total gastrectomy.Twenty-six cases with stomach cancer undergoing digestive tract reconstruction by continuous jejunal interposition after total gastrectomy between Jan.2000 to Mar.2002 were analyzed.No operative death and stomach fistula was found in all cases.The follow-up period ranged from 12 to 25 months (average 17.4 months).Eleven cases in the series were examined by barium meal.The volume of artificial stomach was more than 300ml and the emptying time was 30 to 120 minutes.Reflux esophagitis was found in 6 cases at 6 months after operation and 2 cases at 12 months after operation. The quality of life improved postoperation.Conclusions]Continuous jejunal interposition is a perfect method for digestive tract reconstruction after total gastrectomy.