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[全胃切除术后存活超过3个月的幸存者的主诉临床研究]

[Clinical studies on the complaints of survivors living more than 3 months after total gastrectomy].

作者信息

Hirai T, Aratani S, Yoshinaka K, Toge T, Niimoto M, Hattori T

出版信息

Gan No Rinsho. 1987 Mar;33(3):258-64.

PMID:3586341
Abstract

From 1973 to 1983, 802 patients with gastric cancer were operated on. Out of them, 292 (36.4%) received total gastrectomy. Reconstruction was performed mainly by the Billroth II procedure associated with the closure of the afferent loop according to Plenk's method. 90 patients living more than 3 months complained of the following: heartburn, 18 (20%); reflux, 12 (13.3%); retrosternal pain, 3 (3.3%); stenotic sensation, 23 (25.6%); diarrhea, 10 (11.1%); abdominal pain, 14 (15.6%); and dumping syndrome, 6 (6.7%). It seems to indicate that the quality of life after total gastrectomy is satisfactory.

摘要

1973年至1983年期间,802例胃癌患者接受了手术治疗。其中,292例(36.4%)接受了全胃切除术。重建主要采用毕罗Ⅱ式手术,并根据普伦克方法闭合输入袢。90例存活超过3个月的患者有以下主诉:烧心18例(20%);反流12例(13.3%);胸骨后疼痛3例(3.3%);狭窄感23例(25.6%);腹泻10例(11.1%);腹痛14例(15.6%);倾倒综合征6例(6.7%)。这似乎表明全胃切除术后的生活质量是令人满意的。

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引用本文的文献

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Preservation of the lower esophageal sphincter during total gastrectomy for gastric cancer to prevent postoperative reflux esophagitis.胃癌全胃切除术中保留食管下括约肌以预防术后反流性食管炎。
Surg Today. 1995;25(6):507-14. doi: 10.1007/BF00311306.