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食管癌切除术后胃管道排空延迟的管理。

Management of delayed gastric conduit emptying after esophagectomy.

作者信息

Zhang Rusi, Zhang Lanjun

机构信息

State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou 510080, China.

Department of Thoracic Surgery, Sun Yat-sen University, Guangzhou 510080, China.

出版信息

J Thorac Dis. 2019 Jan;11(1):302-307. doi: 10.21037/jtd.2018.11.101.

DOI:10.21037/jtd.2018.11.101
PMID:30863608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6384344/
Abstract

Delayed gastric conduit emptying (DGE) is a common complication after esophagectomy. Currently, pyloric interventions are the major prevention and treatment for DGE. In this review, we attempt to evaluate the clinical effect and safety of different pyloric interventions in esophagectomy patients. Moreover, other important management of DGE, including size of esophageal substitute, erythromycin and nasogastric tube (NGT) will also be discussed.

摘要

胃代食管通道排空延迟（DGE）是食管切除术后的常见并发症。目前，幽门干预是DGE的主要防治方法。在本综述中，我们试图评估不同幽门干预措施对食管切除患者的临床疗效和安全性。此外，还将讨论DGE的其他重要管理措施，包括替代食管的大小、红霉素和鼻胃管（NGT）。

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本文引用的文献

1
Pylorus drainage procedures in thoracoabdominal esophagectomy - a single-center experience and review of the literature.胸腹段食管癌切除术中的幽门引流手术——单中心经验及文献综述
BMC Surg. 2018 Mar 1;18(1):13. doi: 10.1186/s12893-018-0347-x.
2
Risk factors for delayed gastric emptying in patients undergoing esophagectomy without pyloric drainage.未行幽门引流的食管癌切除术患者胃排空延迟的危险因素。
J Surg Res. 2017 Jun 1;213:46-50. doi: 10.1016/j.jss.2017.02.012. Epub 2017 Feb 21.
3
Risk factors for delayed gastric emptying after esophagectomy.食管癌切除术后胃排空延迟的危险因素。
Langenbecks Arch Surg. 2017 May;402(3):547-554. doi: 10.1007/s00423-017-1576-7. Epub 2017 Mar 21.
4
Is Chemical Pyloroplasty Necessary for Minimally Invasive Esophagectomy?微创食管切除术中化学性幽门成形术是否必要？
Ann Surg Oncol. 2017 May;24(5):1414-1418. doi: 10.1245/s10434-016-5742-x. Epub 2017 Jan 5.
5
Nasogastric decompression following esophagectomy: a systematic literature review and meta-analysis.食管癌切除术后的鼻胃管减压：一项系统的文献综述和荟萃分析
Dis Esophagus. 2017 Feb 1;30(3):1-8. doi: 10.1111/dote.12530.
6
Gastric Outlet Obstruction After Esophagectomy: Retrospective Analysis of the Effectiveness and Safety of Postoperative Endoscopic Pyloric Dilatation.食管癌切除术后胃出口梗阻：术后内镜下幽门扩张术有效性和安全性的回顾性分析
World J Surg. 2016 Oct;40(10):2405-11. doi: 10.1007/s00268-016-3575-1.
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Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice.胃肠道手术术后加速康复（ERAS），第2部分：麻醉实践共识声明。
Acta Anaesthesiol Scand. 2016 Mar;60(3):289-334. doi: 10.1111/aas.12651. Epub 2015 Oct 30.
8
[Study on safety and feasibility of minimally invasive esophagectomy without the use of postoperative nasogastric tube decompression].[不使用术后鼻胃管减压的微创食管切除术的安全性和可行性研究]
Zhonghua Wei Chang Wai Ke Za Zhi. 2014 Sep;17(9):920-3.
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[Feasibility of "no tube no fasting" therapy in thoracolaparoscopic oesophagectomy for patients with oesophageal cancer].["无管无禁食"疗法在食管癌患者胸腹腔镜联合食管癌切除术中的可行性]
Zhonghua Wei Chang Wai Ke Za Zhi. 2014 Sep;17(9):898-901.
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Ann Thorac Surg. 2014 Oct;98(4):1512-9. doi: 10.1016/j.athoracsur.2014.06.057. Epub 2014 Aug 22.