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使用胃管和带蒂结肠段进行食管重建的临床及病理生理学评估

Clinical and pathophysiological evaluation of esophageal and reconstruction using gastric tube and pedicled colon segment.

作者信息

Lee K, Fujimaki M, Soga J, Kawaguchi M, Muto T

出版信息

Jpn J Surg. 1976 Sep;6(3):109-18. doi: 10.1007/BF02468782.

DOI:10.1007/BF02468782
PMID:1011393
Abstract

Pathophysiological and nutritional conditions were compared after esophageal reconstruction in 15 patients with a gastric tube and in 12 patients with a pedicled colon segment for the treatment of esophageal cancer. There was no significant difference in the postoperative nutritional index, iron and vitamin B12 metabolisms. On the other hand, the long gastric tube from the greater curvature of the stomach used as an esophageal substitute retained some secretory functions of both exocrine and endocrine although the effect of truncal vagotomy may have to be taken into consideration.

摘要

对15例采用胃管和12例采用带蒂结肠段进行食管癌治疗的食管重建患者术后的病理生理和营养状况进行了比较。术后营养指标、铁和维生素B12代谢方面无显著差异。另一方面,取自胃大弯的长胃管用作食管替代物时,尽管可能需要考虑迷走神经干切断术的影响,但仍保留了一些外分泌和内分泌的分泌功能。

相似文献

1
Clinical and pathophysiological evaluation of esophageal and reconstruction using gastric tube and pedicled colon segment.使用胃管和带蒂结肠段进行食管重建的临床及病理生理学评估
Jpn J Surg. 1976 Sep;6(3):109-18. doi: 10.1007/BF02468782.
2
Gastric patch esophagoplasty: an experimental study.胃补片食管成形术:一项实验研究。
Am J Surg. 1979 Feb;137(2):226-7. doi: 10.1016/0002-9610(79)90150-8.
3
Gastric esophagoplasty for esophageal carcinoma.食管癌的胃食管成形术
Semin Surg Oncol. 1992 Jan-Feb;8(1):9-15.
4
[Evaluation of reconstruction of the esophagus by transplantation of pedicled flaps of the stomach or the right colon in the anterior chest].[前胸胃或右结肠带蒂皮瓣移植重建食管的评估]
Geka Chiryo. 1968 Nov;19(6):761-8.
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[Surgery for upper or middle thoracic esophageal carcinoma after gastrectomy].胃切除术后上中段胸段食管癌的手术治疗
Zhonghua Wai Ke Za Zhi. 2005 Jul 15;43(14):909-12.
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[Esophageal reconstruction in cervical esophageal cancer using the pedicled transverse colon].[带蒂横结肠用于颈段食管癌的食管重建]
Shujutsu. 1971 Nov;25(11):1362-9.
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[A case of esophageal cancer required jejunal reconstruction because of a gastric ulcer scar].[一例因胃溃疡瘢痕而需行空肠重建的食管癌病例]
Nihon Kyobu Geka Gakkai Zasshi. 1995 Dec;43(12):1948-52.
8
[Esophagoplasty of the anterior thoracic wall by transplantation of the pedicled ileum and right colon as a step in surgery of a cancer of the upper and middle esophagus of the thoracic region].[带蒂回肠和右结肠移植至胸前壁行食管成形术作为胸段中上段食管癌手术的一个步骤]
Kyobu Geka. 1971 Apr;24(4):247-51.
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Gastric tube interpostion: a satisfactory alternative to the colon for esophageal replacement in children.
Ann Thorac Surg. 1978 Jun;25(6):521-5. doi: 10.1016/s0003-4975(10)63601-6.
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Denervated stomach as an esophageal substitute recovers intraluminal acidity with time.去神经支配的胃作为食管替代物,其腔内酸度会随时间恢复。
Ann Surg. 2001 Apr;233(4):509-14. doi: 10.1097/00000658-200104000-00005.

本文引用的文献

1
Functional evaluation of esophageal reconstructions.食管重建的功能评估
Ann Thorac Surg. 1971 Oct;12(4):331-46. doi: 10.1016/s0003-4975(10)65135-1.
2
[Nutritional condition and food habits after operation of esophageal and cardial cancer].[食管癌和贲门癌术后的营养状况与饮食习惯]
Nihon Shokakibyo Gakkai Zasshi. 1974 Nov;71(11):1151-65.
3
[Intestinal absorption in postoperative patients with carcinoma of the esophagus and gastric cardia].[食管癌和贲门癌术后患者的肠道吸收]
Nihon Shokakibyo Gakkai Zasshi. 1974 Aug;71(8):764-76.