Michiura Taku, Kanbara Tatsuya, Nakai Koji, Inoue Kentaro, Yamamichi Keigo, Nakane Yasushi
Department of Surgery, Kansai Medical University, 10-15 Fumizonocho, Moriguchi, Osaka, 570-8507, Japan.
Surg Today. 2006;36(6):570-3. doi: 10.1007/s00595-006-3198-5.
Jejunal pouch interposition (JPI) reconstruction after total gastrectomy has proven effective for improving postoperative quality of life; however, evaluation of bile reflux into the esophagus shows that the reflux of digestive juice is not sufficiently prevented. Therefore, in addition to the conventional reconstruction technique, we created an artificial pouch to prevent the reflux of digestive juice from the jejunal pouch into the esophagus, and performed a new surgical technique based on the Hill's posterior gastropexy. No postoperative complications were observed and the postoperative measurement showed a decrease in the duration of bile reflux into the esophagus. Thus, our new surgical procedure seems to effectively prevent bile reflux.
全胃切除术后行空肠袋插入术（JPI）重建已被证明对改善术后生活质量有效；然而，对食管胆汁反流的评估表明，消化液反流并未得到充分预防。因此，除了传统的重建技术外，我们制作了一个人工袋以防止消化液从空肠袋反流至食管，并基于希尔后胃固定术实施了一种新的手术技术。未观察到术后并发症，术后测量显示食管胆汁反流持续时间缩短。因此，我们的新手术方法似乎能有效预防胆汁反流。
