Larsson S, Lycke G, Rådberg G
Department of Thoracic and Cardiovascular Surgery, University of Göteborg, Sweden.
Ann Thorac Surg. 1989 Nov;48(5):677-82. doi: 10.1016/0003-4975(89)90788-1.
A method has been developed to prevent reflux of gastric contents into an interposed segment of colon substituting for the esophagus. The operative procedure includes construction of an intussusception valve at the cologastric junction. The method was used in 5 patients, who have been followed clinically for 17 to 30 months. Clinical observations including endoscopy as well as radiography and dynamic scintigraphy indicate that the addition of an antireflux valve at the distal end of the interposed segment of colon prevents gastrocolic reflux without jeopardizing the emptying of the colon transplant.
已研发出一种防止胃内容物反流至替代食管的结肠插入段的方法。手术步骤包括在结肠与胃的连接处构建套叠瓣。该方法应用于5例患者,临床随访17至30个月。包括内镜检查以及放射学和动态闪烁扫描在内的临床观察表明,在结肠插入段远端增加一个抗反流瓣可防止胃结肠反流,而不会危及结肠移植段的排空。