小儿小胃畸形抗反流手术失败后的全食管胃分离术

Total Esophageal Gastric Dissociation for the Failed Antireflux Procedure in a Child with Microgastria.

作者信息

Hattori Kengo, Bvulani Bruce, Numanoglu Alp, Cox Sharon Gail, Millar Alastair J W

机构信息

Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa; Department of Paediatric Surgery, University of Cape Town, Cape Town, Western Cape, South Africa.

出版信息

European J Pediatr Surg Rep. 2016 Dec;4(1):6-9. doi: 10.1055/s-0035-1571176. Epub 2016 Jan 22.

DOI:10.1055/s-0035-1571176

PMID:28018800

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5177559/

Abstract

Microgastria is a very rare anomaly characterized by a very small tubular stomach that presents with severe gastroesophageal reflux disease due to the small reservoir capacity of the stomach. We present a patient with microgastria-related reflux and a failed fundoplication who was treated with total esophageal gastric dissociation (TEGD) resulting in an excellent outcome. In our experience with this good long-term result, we would suggest that TEGD be added to the armamentarium of procedures that can be used in the treatment of microgastria.

摘要

小胃畸形是一种非常罕见的异常情况，其特征为胃呈非常小的管状，由于胃的储存容量小而伴有严重的胃食管反流病。我们报告一例患有小胃畸形相关反流且胃底折叠术失败的患者，该患者接受了全食管胃离断术（TEGD），结果良好。根据我们取得这一良好长期效果的经验，我们建议将TEGD纳入可用于治疗小胃畸形的手术方法之中。