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[结肠代食管重建术后的胃食管反流]

[Gastroesophageal reflux after reconstruction of the esophagus with colon interposition].

作者信息

Milnerowicz S, Grabowski K, Strutyńska-Karpińska M, Knast W

机构信息

Katedry i Kliniki Chirurgii Przewodu Pokarmowego Akademii Medycznej we Wrocławiu.

出版信息

Wiad Lek. 1997;50 Suppl 1 Pt 1:322-5.

PMID:9446377
Abstract

In this study 113 cases were analysed; in which colon interposition was used for the reconstruction od the esophagus. The function od the esophageal grafts was evaluated 2 to 36 years after the reconstruction. Massive reflux was observed mainly when the anastomosis had been made to the gastric fundus. Reflux to isoperistaltic grafts was found in 21% of cases in children and in 27% od cases in adults, whereas for antiperistaltic grafts is was found in 33% od cases in children and in 61% od cases in adults. 4 children and 7 adult patients required a a reoperation.

摘要

本研究分析了113例病例,其中采用结肠间置术重建食管。重建术后2至36年对食管移植物的功能进行了评估。主要在与胃底进行吻合时观察到大量反流。在儿童病例中,21%的等蠕动移植物出现反流,成人病例中为27%;而在儿童病例中,33%的反蠕动移植物出现反流,成人病例中为61%。4名儿童和7名成年患者需要再次手术。

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