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[超声检查胃残端和胃肠吻合术在切除术后倾倒综合征复杂诊断中的应用]

[Ultrasonic examination of gastric stump and gastroenteroanastomosis in complex diagnosis of postresection dumping syndrome].

作者信息

Sazhin V P, Zhabolenko V P, Sazhin A V, Naumov I A

出版信息

Khirurgiia (Mosk). 2004(6):4-8.

Abstract

Long-term results of laparoscopic resections of the stomach were studied, a comparative analysis with similar open surgeries was carried out. The comparative analysis was based on the results of ultrasonic examination (USE) of the gastric stump (GS) and gastroenteroanastomosis (GEA). Basing on ultrasonic parameters of GS, digital parameters of GEA in mild, moderate and severe degree of dumping-syndrome were determined. Ultrasonic examinations of the gastric stump permitted to study its function in dumping-syndrome of different degree, to reveal sizes of GEA in relaxation and contraction stage, and based on these data to determine its gradients of contractility. Ultrasonic method in long-term period after resection of the stomach has advantages compared with gastroscopic and X-ray methods.

摘要

研究了腹腔镜胃切除术的长期结果,并与类似的开放手术进行了对比分析。对比分析基于胃残端(GS)和胃肠吻合术(GEA)的超声检查(USE)结果。根据GS的超声参数,确定了轻度、中度和重度倾倒综合征中GEA的数字参数。胃残端的超声检查有助于研究其在不同程度倾倒综合征中的功能,揭示GEA在舒张期和收缩期的大小,并基于这些数据确定其收缩性梯度。与胃镜和X射线方法相比,胃切除术后长期的超声检查方法具有优势。

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