| 袢式空肠代胃改良术在胃癌全胃切除术后消化道重建术中的应用 |
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| 引用本文： | 李忠铭,罗满生,雍铁山,邓天亮. 袢式空肠代胃改良术在胃癌全胃切除术后消化道重建术中的应用[J]. 实用临床医学(江西), 2011, 12(1): 39-40,43 |
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| 作者姓名： | 李忠铭 罗满生 雍铁山 邓天亮 |
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| 作者单位： | 湘雅萍矿合作医院普外科,江西,萍乡,337000 |
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| 摘 要： | 目的 探讨袢式空肠代胃改良术在胃癌全胃切除术后消化道重建术中的应用.方法 对16例行全胃切除术的胃癌患者均行袢式空肠代胃改良术,术中将袢式空肠分别做2个Braun's侧侧吻合,在2个侧侧吻合口上1/3处用7#线结扎.结果 16例患者术后均进行了随访,随访时间6个月～3年,3例死于术后复发和转移.13例存活,无一例出现饱胀、胃排空、反流性食管炎和倾倒综合征等并发症;术后体质量及钾、钠、氯、钙均较术前明显改善;术后经钡餐检查,口服钡剂经过30、60、120 min后分别有40%、60%、90%由代胃肠袢排出.Visick分级指数为Ⅰ级6例,Ⅱ级10例.结论 全胃切除术的胃癌患者行袢式空肠代胃改良术,其食物储存量和排空时间较为满意.保证了重建消化道神经-肌肉功能的连续性,减少了并发症,提高了患者的生存质量,是一种比较合理的术式.
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| 关 键 词： | 胃癌 全胃切除术 袢式空肠代胃改良术 消化道重建术 |
Application of Modified Loop-type Gastrojejunostomy in Digestive Tract Reconstruction after Total Gastrectomy for Gastric Carcinoma |
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| LI Zhong-ming,LUO Man-sheng,YONG Tie-shan,DENG Tian-liang. Application of Modified Loop-type Gastrojejunostomy in Digestive Tract Reconstruction after Total Gastrectomy for Gastric Carcinoma[J]. Practical Clinical Medicine, 2011, 12(1): 39-40,43 |
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| Authors: | LI Zhong-ming LUO Man-sheng YONG Tie-shan DENG Tian-liang |
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| Affiliation: | LI Zhong-ming,LUO Man-sheng,YONG Tie-shan,DENG Tian-liang(Department of General Surgery,Ping Cooperation Xiangya Hospital of Mine,Pingxiang 337000,China) |
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| Abstract: | Objective To explore an application of modified loop-type gastrojejunostomy in digestive tract reconstruction after total gastrectomy for gastric carcinoma.Methods Modified loop-type gastrojejunostomy was performed with Braun's side-to-side jejunojejunostomy in 16 patients who underwent total gastrectomy for gastric carcinoma.The intraoperative of ligation was performed at upper 1/3 part of two anastomotic stoma with 7 suture.Results All patients were followed up postoperatively for 6-36 months.Three patien... |
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| Keywords: | gastric carcinoma total gastrectomy modified loop-type gastrojejunostomy digestive tract reconstruction |
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