近端胃切除及食管胃吻合重建术后难治性反流性食管炎行远端胃切除及 Roux-en-Y 重建术。

Distal gastrectomy and Roux-en-Y reconstruction for refractory reflux esophagitis after proximal gastrectomy and esophagogastric anastomosis reconstruction.

作者信息

Yamamoto Masaaki, Takeno Atsushi, Hamakawa Takuya, Tokuyama Shinji, Toshiyama Reishi, Kawai Kenji, Takahashi Yusuke, Sakai Kenji, Hama Naoki, Gotoh Kunihito, Kato Takeshi, Hirao Motohiro

机构信息

Department of Surgery, NHO Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-Ku, Osaka, 540-0006, Japan.

Department of Gastroenterological Surgery, Osaka Rosai Hospital, Nagasone 1179-3, Kita Ward, Sakai, Osaka, 591-8025, Japan.

出版信息

Surg Today. 2024 Nov;54(11):1414-1416. doi: 10.1007/s00595-024-02889-9. Epub 2024 Jun 28.

DOI:10.1007/s00595-024-02889-9

PMID:38942962

Abstract

Refractory gastroesophageal reflux disease can develop after proximal gastrectomy and esophagogastrostomy. We introduce a new method that combines distal gastrectomy and Roux-en-Y reconstruction to treat refractory reflux esophagitis in patients who have undergone proximal gastrectomy and esophagogastric anastomosis reconstruction. This novel method may be useful not only for alleviating the symptoms of gastroesophageal reflux disease but also for preventing future esophageal malignancies arising from long-term reflux esophagitis.

摘要

难治性胃食管反流病可在近端胃切除和食管胃吻合术后发生。我们引入一种新方法，该方法结合远端胃切除和Roux-en-Y重建术，用于治疗接受过近端胃切除和食管胃吻合重建术的患者的难治性反流性食管炎。这种新方法不仅可能有助于缓解胃食管反流病的症状，还可能有助于预防长期反流性食管炎引发的未来食管恶性肿瘤。