Choi D, Yoo C H, Park H, Lee Y R, Kook S H, Chung E C
Department of Radiology, Kangbuk Samsung Hospital, Samsung Medical Center, Sungkyunkwan University School of Medicine, 108, Pyung-Dong, Jongro-Ku, Seoul 110-746, Korea.
Abdom Imaging. 2003 Jan-Feb;28(1):4-7. doi: 10.1007/s00261-002-0022-6.
We assessed the postoperative findings of proximal gastrectomy and jejunal pouch interposition with contrast radiography.
Eleven patients with proximal gastrectomy and jejunal pouch interposition for proximal gastric carcinoma underwent contrast radiography. We evaluated the radiographic findings of the remnant stomach and interposed jejunal pouch.
The interposed jejunal pouch showed good expansion, and the motility of the remnant gastric antrum was normal in all patients. One patient had significant lumenal narrowing of the esophageal pouch anastomotic site. Leak at the anastomotic site was not found. Reflux into the esophagus from the pouch was observed in two patients. Gastric emptying time was considerably delayed in two patients.
Follow-up upper gastrointestinal series of the proximal gastrectomy and jejunal pouch interposition showed different postoperative findings. Awareness of the normal and abnormal findings is essential in the accurate postoperative evaluation of these patients.
我们通过对比造影评估了近端胃切除术和空肠袋插入术的术后结果。
11例因近端胃癌接受近端胃切除术和空肠袋插入术的患者接受了对比造影。我们评估了残胃和插入空肠袋的影像学表现。
所有患者的插入空肠袋均显示良好扩张，残胃窦的蠕动正常。1例患者食管袋吻合口处出现明显管腔狭窄。未发现吻合口漏。2例患者观察到有液体从空肠袋反流至食管。2例患者胃排空时间明显延迟。
近端胃切除术和空肠袋插入术的随访上消化道造影显示出不同的术后结果。了解正常和异常表现对于准确评估这些患者的术后情况至关重要。
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