Broll R, Müller G, Bürk C, Stefanovich P, Bruch H P
Surgical Clinic, University of Luebeck, Germany.
Acta Chir Belg. 1993 May-Jun;93(3):78-82.
Esophageal manometry with a catheter microtransducer was performed as a functional diagnostic method on 30 patients after total gastrectomy because of gastric cancer (18 men, 12 women with a mean age of 64 +/- 3.7 years). Subsequently their symptoms were recorded. 21 of the patients (70%) complained of reflux discomfort and symptoms of disturbed peristalsis (dysphagia, odynophagia). 29 patients (93%) showed pathological patterns of contraction (repetitive, simultaneous, deformed, multipeak contractions) especially in the distal part of the esophagus. The contractile force was decreased on average by 10 mmHg in that area. The resting pressure of the upper sphincter was also decreased by about 10 mmHg. These results can be explained by an increased postoperative reflux (absence of the lower sphincter) and the changed biomechanics of the esophagus (decreased longitudinal tension) caused by the operation. The results of this study demonstrate the importance of postoperative manometry in total gastrectomized patients.
对30例因胃癌行全胃切除术的患者（18例男性，12例女性，平均年龄64±3.7岁），采用导管微传感器进行食管测压作为一种功能诊断方法。随后记录他们的症状。21例患者（70%）主诉有反流不适及蠕动紊乱症状（吞咽困难、吞咽痛）。29例患者（93%）显示出收缩的病理模式（重复性、同步性、变形、多峰收缩），尤其是在食管远端。该区域的收缩力平均降低了10 mmHg。上括约肌的静息压力也降低了约10 mmHg。这些结果可以用术后反流增加（下括约肌缺失）以及手术导致的食管生物力学改变（纵向张力降低）来解释。本研究结果证明了全胃切除术后测压在患者中的重要性。
