Górka Z, Wojtyczka A, Lampe P, Nowak J, Kuśnierz K
Kliniki Chirurgii Przewodu Pokarmowego Slaskiej Akademii Medycznej w Katowicach.
Wiad Lek. 1997;50 Suppl 1 Pt 2:394-400.
582 patients were gastrectomized between 1976 and 1996 in the Department for Gastrointestinal Surgery in Katowice/Poland for gastric cancer. Before 1985 esophago-jejunal anastomosis have been accomplished using a simple end-to-end or special end-to-side (Schreiber-Eichfuss) method with jejunoplication. Thereafter we used an end-to-end invagination method with 4-5 cm deep intussusception of the first raw of sutures into jejunum. Comparison of the occurrence of short and long term complications at the site of esophago-jejunal anastomosis showed that invagination technique is safer that the previous one. It is associated with the lower rate of short and long term complications (dehiscence, stenosis, oesophagitis). Details of the surgical procedure facilitating the accomplishment of the tight and safe anastomosis are presented.
1976年至1996年间，波兰卡托维兹胃肠外科为582例胃癌患者实施了胃切除术。1985年前，食管空肠吻合采用简单端端吻合或特殊端侧（施赖伯-艾希富斯）吻合并加空肠折叠术。此后，我们采用端端套入法，将第一排缝线向空肠内套入4-5厘米深。食管空肠吻合部位短期和长期并发症发生率的比较表明，套入技术比之前的技术更安全。它与较低的短期和长期并发症（裂开、狭窄、食管炎）发生率相关。文中介绍了有助于完成紧密且安全吻合的手术操作细节。
