食管癌切除术后反流性食管炎

 食管癌切除后食管炎是一个十分普遍的问题,主要是食管与胃之间的抗反流屏障遭到破坏和胃食管反流所致,食管不能清除反流物是另一致病原因。作者对30例食管癌切除术后一年左右的病人进行了食管镜检查,发现患者取右侧卧位比左侧卧位更易发生反流。病理组织学检查表明,全部患者均存在不同程度的食管炎症。睡眠时取半卧位是有效的防治方法。作者提出了食管炎的病理组织学分级标准。

REFLUX ESOPHAGITIS AFTER RESECTION OF ESOPHAGEAI CANCER

Esophagitis following resection of esophageal cancer is a quite common problem.It is mainly due to destruction of the anti-reflux barrier between the esophagus and the stomach and gastroesophageal reflux. Failure of esophageal clearance ofrefluxed material is the other one of the causes. In this study, 30 patients withesophageal carcinoma resected about one year were examined endoscopically. Theresults showed that reflux is more easily to occur during the patients lay on rightside than left. Histopathologic findings indicated that esophageal inflammation ofvarious degrees existed in all subjects. Sleeping with the head elevated is an effec-tive preventive method in therapy. The authors proposed the histopathologic gradecriterion of esophagitis.