用于胃食管反流的nissen胃底折叠术：通过C - 醋酸呼气试验测量，胃排空无恶化。
Nissen fundoplication for gastroesophageal reflux: No deterioration of gastric emptying measured by C-acetate breath test.
作者信息
Okada Tadao, Honda Shohei, Miyagi Hisayuki, Minato Masashi
机构信息
Department of Pediatric Surgery, Hokkaido University Hospital, Sapporo, Japan.
出版信息
J Indian Assoc Pediatr Surg. 2011 Oct;16(4):137-41. doi: 10.4103/0971-9261.86866.
AIM
To study the gastric emptying 30 days after laparoscopic Nissen fundoplication (NF) in gastroesophageal reflux.
MATERIALS AND METHODS
Three patients were evaluated with (13)C-acetate breath test (ABT) performed pre and post-NF. The liquid test meal consisted of Racol(™) mixed with (13)C-acetate.
RESULTS
In the patient without neurological impairment (NI), the preoperative t(½)ex and t lag were 0.900 and 0.510 hours, respectively. The postoperative t(½)ex and t lag were 0.959 and 0.586 hours, respectively. In one patient with NI, the preoperative t(½)ex and t lag were 1.828 and 1.092 hours, respectively. The postoperative t(½)ex and t lag were 2.081 and 1.025 hours, respectively. In the other patient with NI, the preoperative t(½)ex and t lag were 2.110 and 0.980 hours, respectively. The postoperative t(½)ex and t lag were 1.118 and 0.415 hours, respectively.
CONCLUSIONS
Our findings suggest that (13)C-ABT parameters did not worsen in any of the children after laparoscopic NF.
目的
研究腹腔镜下尼氏胃底折叠术（NF）治疗胃食管反流30天后的胃排空情况。
材料与方法
对3例患者在NF术前和术后进行了（13）C - 醋酸呼气试验（ABT）评估。液体试验餐由Racol（™）与（13）C - 醋酸混合而成。
结果
在无神经功能障碍（NI）的患者中，术前的t（½）ex和t lag分别为0.900小时和0.510小时。术后的t（½）ex和t lag分别为0.959小时和0.586小时。在1例患有NI的患者中，术前的t（½）ex和t lag分别为1.828小时和1.092小时。术后的t（½）ex和t lag分别为2.081小时和1.025小时。在另1例患有NI的患者中，术前的t（½）ex和t lag分别为2.110小时和0.980小时。术后的t（½）ex和t lag分别为1.118小时和0.415小时。
结论
我们的研究结果表明，腹腔镜下NF术后，任何儿童的（13）C - ABT参数均未恶化。
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