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[胃切除术后综合征的外科治疗]

[Surgical treatment of postgastrectomy syndromes].

作者信息

Chistova M A, Chistov L V

出版信息

Khirurgiia (Mosk). 1994 May(5):29-32.

PMID:8057617
Abstract

The article deals with 33-year experience in surgical treatment of 200 patients. Among the indications for surgery were severe degrees of the dumping syndrome, the afferent loop syndrome, moderately severe progressive forms of these syndromes, and a stable pain syndrome and bilious vomiting in reflux gastritis. Three types of reconstructive operations were performed: gastroejunoduodenoplasty in 152 patients, gastroduodenoanastomosis in 20 patients, and formation of gastrojejunal Y-shaped EEA after Roux in 28 patients. The operations was complemented by vagotomy in 96 patients. One patient died after operation performed in the clinic. In the late-term periods after reconstructive gastroejunoplasty positive results were recorded in 91% of patients examined.

摘要

本文介绍了对200例患者进行手术治疗的33年经验。手术适应症包括严重程度的倾倒综合征、输入袢综合征、这些综合征的中度严重进展型,以及反流性胃炎中的稳定疼痛综合征和胆汁性呕吐。实施了三种重建手术:152例患者行胃空肠十二指肠成形术,20例患者行胃十二指肠吻合术,28例患者在Roux术后行胃空肠Y形EEA成形术。96例患者的手术辅以迷走神经切断术。1例患者在诊所手术后死亡。在重建性胃空肠成形术后的后期,91%接受检查的患者取得了阳性结果。

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