Schwarz A
Chirurgische Klinik I, Universität Ulm, Steinhövelstrasse 9, 89075 Ulm.
Kongressbd Dtsch Ges Chir Kongr. 2002;119:265-8.
Reservoir function of a jejunum pouch is better than a simple Roux-en-Y limb. Postoperative processes of adaptation take at least 6 months. Pouch volume increases substantially after the operation and reaches about 200% of its initial volume. Morphological structure changes with muscular wall hypertrophy, plump deformation and widening of the villi, and a reduction of the mucosal surface. There is a change of motility pattern with a reduction of the propagation velocity. Randomized studies demonstrate a better reservoir function, less reflux, less heart burn, a slower passage time and fewer dumping symptoms after pouch reconstruction.
空肠袋的储袋功能优于单纯的Roux-en-Y肠袢。术后适应过程至少需要6个月。术后空肠袋体积大幅增加，达到初始体积的约200%。形态结构发生变化，肌壁肥厚、绒毛丰满变形且增宽，黏膜表面积减小。动力模式改变，传播速度降低。随机研究表明，空肠袋重建后储袋功能更好、反流更少、烧心更少、通过时间更慢且倾倒症状更少。
