Gózner A
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1977 Jul-Aug;26(4):267-70.
A procedure is presented, allowing to include the stomach in the intestinal pathway in cases of oesophagoplasties, preventing at the same time the development of anastomotic peptic ulcers. A colo-pyloric anastomosis is performed with the aboral stump of the elevated colic loop. The colic end is anastomosed terminoterminally to the pylorus, in such a way that a 6--7 cm pylorotomy is performed. The pyloric function is suppressed and the evacuation of the stomach's contents into the duodenum is facilitated. The reflux of the alkaline duodenal fluid is also possible, into the antrum. The duodenum, the antrum, and the aboral part of the elevated colic loop constitute a sort of "cloaca" inside which the acidic gastric secretion is neutralized, partially by the salivary fluid and on the other hand by the duodenal reflux. To such a type of anastomosis vagotomy can also be associated, especially in cases with hyperacidity.
本文介绍了一种手术方法，在食管成形术的情况下可将胃纳入肠道路径，同时预防吻合口消化性溃疡的发生。将结肠袢上提，其远心端残端与幽门进行结肠 - 幽门吻合。结肠端与幽门端端吻合，为此需进行6 - 7厘米的幽门切开术。幽门功能受到抑制，有利于胃内容物排入十二指肠。碱性十二指肠液也可能反流至胃窦。十二指肠、胃窦和上提结肠袢的远心部分构成一种“泄殖腔”，酸性胃液在其中部分被唾液中和，另一方面被十二指肠反流中和。对于这种吻合方式，也可联合迷走神经切断术，尤其是在胃酸过多的情况下。
