[内镜检查在诊断碱性反流性术后胃炎中的价值]
[Value of endoscopy in the diagnosis of postoperative gastritis caused by alkaline reflux].
作者信息
Martínez Castro R, Pérez-Mateo Regadera M, Baltasar Torrejón A, Martínez Egea A, Sánchez Cuenca J, Laforga J, Marcote E
机构信息
Hospital Virgen de los Lirios, Alcoy, Alicante.
出版信息
Rev Esp Enferm Dig. 1995 Aug;87(8):564-8.
OBJECTIVE
A long term retrospective study comparing endoscopic lesions and their relationship with symptoms and histological lesions of postoperative Alkaline Reflux Gastritis (ARG) between partial gastrectomy Billroth II (n = 25) and the Roux-en-Y (n = 36) is presented.
PATIENTS AND METHODS
In patients operated on with both techniques the clinical, endoscopic and histological aspects are studied.
RESULTS
The patients operated on with the Billroth II technique present a higher frequency of bile in the gastric remnant and mucosal lesions in the endoscopic study (p < 0.001) compared with the Roux-en-Y group. Bile and mucosal lesions on the gastric stump are more common with symptoms and histological lesions of postoperative ARG.
CONCLUSIONS
The endoscopic evaluation is a valid and reliable examination in the diagnosis and follow up of postoperative ARG.
目的
进行一项长期回顾性研究，比较毕Ⅱ式胃部分切除术（n = 25）和Roux-en-Y术（n = 36）术后碱性反流性胃炎（ARG）的内镜下病变及其与症状和组织学病变的关系。
患者与方法
对接受这两种手术的患者的临床、内镜和组织学方面进行研究。
结果
与Roux-en-Y组相比，毕Ⅱ式手术患者内镜检查显示胃残端胆汁反流频率更高，黏膜病变更常见（p < 0.001）。胃残端的胆汁和黏膜病变与术后ARG的症状和组织学病变更为常见。
结论
内镜评估是术后ARG诊断和随访的有效且可靠的检查方法。
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