全胃切除术后构建逆行袋的营养及生活质量影响：一项随机对照研究
Nutritional and life-quality consequences of aboral pouch construction after total gastrectomy: a randomized, controlled study.
作者信息
Kalmár K, Cseke L, Pótó L, Zámbó K
机构信息
Department of Surgery, University of Pécs, Pécs, Hungary.
出版信息
Eur J Surg Oncol. 2001 Sep;27(6):558-63. doi: 10.1053/ejso.2001.1172.
AIMS
The aboral pouch, a new type of gastric substitute, has been introduced after total gastrectomy and compared to simple Roux-en-Y reconstruction in a prospective, randomized study. Anthropometric data, serum nutritional parameters, small intestinal passage, lipid and carbohydrate absorption and quality of life were measured 6 and 12 months after total gastrectomy.
PATIENTS AND METHODS
Between September 1997 and April 2000 46 patients entered the study, 24 to the aboral pouch group and 22 to the control, simple Roux-en-Y group.
RESULTS
Interim analysis of the data revealed significantly higher serum cholesterol levels, better lipid absorption and quality of life in patients who underwent aboral pouch construction.
CONCLUSION
Aboral pouch construction is a feasible reconstruction method after total gastrectomy providing better lipid absorption and quality of life for patients after total gastrectomy.
目的
在一项前瞻性随机研究中，已引入一种新型胃替代物——背侧袋，并将其与全胃切除术后的简单 Roux-en-Y 重建术进行比较。在全胃切除术后 6 个月和 12 个月测量人体测量数据、血清营养参数、小肠通过情况、脂质和碳水化合物吸收以及生活质量。
患者与方法
1997 年 9 月至 2000 年 4 月期间，46 名患者进入研究，24 名进入背侧袋组，22 名进入对照组，即简单 Roux-en-Y 组。
结果
数据的中期分析显示，接受背侧袋构建的患者血清胆固醇水平显著更高，脂质吸收和生活质量更好。
结论
背侧袋构建是全胃切除术后一种可行的重建方法，可为全胃切除术后的患者提供更好的脂质吸收和生活质量。
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