Kalmár K, Cseke L, Pótó L, Zámbó K
Department of Surgery, University of Pécs, Pécs, Hungary.
Eur J Surg Oncol. 2001 Sep;27(6):558-63. doi: 10.1053/ejso.2001.1172.
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.
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.
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.
Aboral pouch construction is a feasible reconstruction method after total gastrectomy providing better lipid absorption and quality of life for patients after total gastrectomy.
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。
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。
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。
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。
