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小儿年龄阶段胃食管反流(食管裂孔疝)的外科治疗

[Surgical treatment of gastroesophageal reflux (hiatal hernia) in pediatric age].

作者信息

Pérez Fernández L F, Peña Rodríguez A, Rodríguez Aranda E

出版信息

Bol Med Hosp Infant Mex. 1975 Nov-Dec;32(6):1195-206.

PMID:1212295
Abstract

Forty nine pediatric patients with gastroesophageal reflux were studied retrospectively; this is a 4 years experience of Hospital del Niño, IMAN. All of them were treated in the same manner, which included barium gastrointestinal series, esophagoscopy, gastric secretion test. Nissen's funduplication was performed in all of them, plus gastrostomy in those cases having esophageal stenosis. Preoperatively, eight out of every ten patients had stenosis. From the entire series, one patient died. All of them were relieved from their gastroesophageal reflux. By the ninth day following operation, one patient suffered a gastric perforation. The authors make special considerations concerning the high number of cases per year, as compared with other series. Nissen's funduplication proved very efficient to prevent gastroesophageal reflux.

摘要

对49例小儿胃食管反流患者进行了回顾性研究;这是伊曼儿童医院德尔尼尼奥医院4年的经验。所有患者均接受相同的治疗方式,包括钡剂胃肠道造影、食管镜检查、胃液分泌试验。所有患者均进行了nissen胃底折叠术,食管狭窄患者还进行了胃造口术。术前,每10例患者中有8例有狭窄。在整个系列中,有1例患者死亡。所有患者的胃食管反流均得到缓解。术后第9天,有1例患者发生胃穿孔。与其他系列相比,作者对每年的病例数之多进行了特别考量。nissen胃底折叠术被证明对预防胃食管反流非常有效。

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1
[Surgical treatment of gastroesophageal reflux (hiatal hernia) in pediatric age].小儿年龄阶段胃食管反流(食管裂孔疝)的外科治疗
Bol Med Hosp Infant Mex. 1975 Nov-Dec;32(6):1195-206.
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