胃食管反流手术的结果与并发症
Results and complications of surgery for gastro-oesophageal reflux.
作者信息
Spitz L, Kirtane J
出版信息
Arch Dis Child. 1985 Aug;60(8):743-7. doi: 10.1136/adc.60.8.743.
Abstract
One hundred and six children undergoing antireflux surgery were studied; 41 were severely mentally retarded and 29 had reflux strictures. Although the eventual rate of success was 92%, 20 patients developed complications that required a second operation. Prolapse of the fundoplication into the mediastinum was the commonest complication (in seven patients), followed by intestinal obstruction (in five), and intractable fibrous oesophageal strictures (in five). The incidence of postoperative complications was highest in patients with mental retardation or oesophageal strictures. Referral of these patients for operation was invariably delayed, and earlier referral may have avoided many of the complications.
摘要
对106例接受抗反流手术的儿童进行了研究；其中41例为重度智力迟钝，29例有反流性狭窄。尽管最终成功率为92%，但有20例患者出现了需要二次手术的并发症。胃底折叠术脱垂至纵隔是最常见的并发症（7例），其次是肠梗阻（5例）和顽固性纤维性食管狭窄（5例）。智力迟钝或食管狭窄患者术后并发症的发生率最高。这些患者的手术转诊总是延迟，更早转诊可能避免许多并发症。
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