Neifeld J P, Berman W F, Lawrence W, Kodroff M B, Salzberg A M
J Pediatr Surg. 1980 Dec;15(6):882-5. doi: 10.1016/s0022-3468(80)80298-3.
A 3-mo-old female presented with growth retardation, vomiting, reflux esophagitis, recurrent aspiration pneumonias, and was found to have megaesophagus and microgastria. After the failure of conservative therapy a double-lumen jejunal (Hunt-Lawrence) pouch with distal Roux-en-Y anastomosis was anastomosed to the stomach to increase the gastric reservoir. One year later, there has been progressive weight gain, the megaesophagus and gastroesophageal reflux have lessened significantly, pneumonia has not recurred, and the tracheobronchitis and esophagitis have resolved. This suggests that the gastroesophageal reflux and megaesophagus were due to an inadequate reservoir with a secondary gastric overflow as the esophagus dilated to enlarge the reservoir capacity of the upper gastrointestinal tract. Utilization of a jejunal pouch increased the size of the gastric reservoir, allowed resolution of the secondary esophageal changes, and permitted normal growth to proceed.
一名3个月大的女婴出现生长发育迟缓、呕吐、反流性食管炎、反复吸入性肺炎，检查发现患有巨食管和小胃。保守治疗无效后，将带有远端Roux-en-Y吻合术的双腔空肠（Hunt-Lawrence）袋与胃吻合，以增加胃容量。一年后，体重逐渐增加，巨食管和胃食管反流明显减轻，肺炎未再复发，气管支气管炎和食管炎也已痊愈。这表明胃食管反流和巨食管是由于胃容量不足，继发胃内容物反流，导致食管扩张以增加上消化道的容量。使用空肠袋增加了胃容量，使继发性食管改变得以缓解，并使正常生长得以继续。
