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食管癌切除术后胃移位对心脏功能的影响

Influence of transposed stomach on cardiac function in patients with resected esophageal cancer.

作者信息

Coral R P, Constant-Neto M, Silva I S, Barros S, Jawetz J

机构信息

Irmandade de Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil.

出版信息

Dis Esophagus. 2004;17(4):307-9. doi: 10.1111/j.1442-2050.2004.00418.x.

DOI:10.1111/j.1442-2050.2004.00418.x
PMID:15569368
Abstract

Although the use of the posterior mediastinum and the stomach as a reconstruction option after esophagectomy has wide acceptance, there are concerns about the potential cardiac impairment it could cause. We prospectively studied 27 patients regarding the function and the systolic diameter, diastolic diameter, shortening fraction, ejection fraction and the presence of extrinsic compression. The patients were studied preoperatively and between the 45th and 60th postoperative days. The parameters were still within normal clinical ranges. We concluded that this type of reconstruction does not harm the patients in terms of their cardiac function.

摘要

尽管在食管切除术后使用后纵隔和胃作为重建选择已被广泛接受,但人们担心它可能导致潜在的心脏损害。我们前瞻性地研究了27例患者的心脏功能以及收缩期直径、舒张期直径、缩短分数、射血分数和外部压迫情况。对患者进行了术前以及术后第45天至第60天的研究。各项参数仍在正常临床范围内。我们得出结论,这种类型的重建在心脏功能方面不会对患者造成损害。

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