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胸腔内胃底折叠术治疗与短食管相关的反流性狭窄

Intrathoracic fundoplication for reflux stricture associated with short oesophagus.

作者信息

Moghissi K

出版信息

Thorax. 1983 Jan;38(1):36-40. doi: 10.1136/thx.38.1.36.

DOI:10.1136/thx.38.1.36
PMID:6845260
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC459481/
Abstract

Intrathoracic fundoplication was carried out in 45 patients with reflux stricture associated with a short oesophagus after the stricture had been fully dilated at operation. There were two deaths in hospital (4·4%). The follow-up extended from one to 10 years. Two patients required dilatation and four others had symptoms of nausea and fullness, all for up to six months. Thirty-seven patients remained symptom free. No patient required further surgery. The procedure is recommended as a conservative surgical method for patients with reflux stricture associated with shortening of the oesophagus.

摘要

对45例反流性狭窄合并短食管的患者，在术中狭窄充分扩张后进行了胸腔内胃底折叠术。有2例患者在住院期间死亡（4.4%）。随访时间从1年至10年不等。2例患者需要进行扩张，另外4例患者有恶心和饱胀症状，所有这些症状持续长达6个月。37例患者仍无症状。没有患者需要进一步手术。该手术被推荐作为一种针对反流性狭窄合并食管缩短患者的保守外科方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5ce/459481/99ab56c4263f/thorax00205-0047-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5ce/459481/ca70add33084/thorax00205-0047-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5ce/459481/99ab56c4263f/thorax00205-0047-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5ce/459481/ca70add33084/thorax00205-0047-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5ce/459481/99ab56c4263f/thorax00205-0047-b.jpg

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1
Intrathoracic fundoplication for reflux stricture associated with short oesophagus.胸腔内胃底折叠术治疗与短食管相关的反流性狭窄
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引用本文的文献

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The short esophagus: pathophysiology, incidence, presentation, and treatment in the era of laparoscopic antireflux surgery.短食管：腹腔镜抗反流手术时代的病理生理学、发病率、临床表现及治疗
Ann Surg. 2000 Nov;232(5):630-40. doi: 10.1097/00000658-200011000-00003.
2
Correlations between esophageal diseases and manometric length: a study of 617 patients.
J Gastrointest Surg. 1999 Sep-Oct;3(5):483-8. doi: 10.1016/s1091-255x(99)80101-2.
3
Effect of hiatal hernia on esophageal manometry and pH-metry in gastroesophageal reflux disease.食管裂孔疝对胃食管反流病患者食管测压和pH值测定的影响。

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