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[胃切除术中的抗反流改良作为预防碱性反流的措施]

[An antireflux modification in gastric resection as a prevention for alkaline reflux].

作者信息

Kabelác K, Lesko M, Hejzlar L

机构信息

I. chirurgická klinika, katedry obecné chirurgie, neurochirurgie, urologie a ortopedie.

出版信息

Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove Suppl. 1990;33(2):137-43.

PMID:2263906
Abstract

The alkaline duodenal or intestinal reflux of contents back to the stomach or postgastrectomy stump is known to result in chronic atrophic gastritis. In accord to several authors, it implies significantly the initiation of carcinoma of postgastrectomy stump. Authors of the present work referred to their routinely provided antirefluent modifications of Roux-en-Y gastrojejunoanastomosis in patients indicated to gastrectomy. Technically important steps of operation have been also reported. The 22-membered total of patients was presented with postsurgery revision results 3 to 36 month postoperatively. The operation mentioned was in accord with preventive DGR query. Remotely, the operation effectiveness should be evaluated as to the prevention of malignancy onset in postgastrectomy stump.

摘要

十二指肠或肠道内容物碱性反流回胃或胃切除术后残端已知会导致慢性萎缩性胃炎。根据几位作者的观点,这意味着胃切除术后残端癌的发生。本研究的作者提到了他们在接受胃切除术的患者中常规进行的Roux-en-Y胃空肠吻合术的抗反流改良。还报告了手术的重要技术步骤。总共22名患者在术后3至36个月进行了术后复查。上述手术符合预防性十二指肠-胃反流的要求。从长远来看,应评估该手术在预防胃切除术后残端恶性肿瘤发生方面的有效性。

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