Bondar' V G, Popovich A Iu, Polivanov A K, Nikulin I V
Klin Khir. 1998(1):30-1.
In the late follow-up period after gastrectomy conduction for gastric cancer using antireflux muff-like esophago-jejunal anastomosis 587 patients were examined. Mild reflux esophagitis was revealed in 29 (4.9%), moderate--in 9 (1.5%) of patients. Cicatricial stenosis of anastomosis have occurred in 127 (8.5%) of patients, including an early one--in 70.1% and the late--in 29.9%. The dilation using tubular bougies, passed along the guide, proved effective in the treatment of early stenosis. The stenosed part was cut through the endoscope with subsequent bougienage for the late stenosis.
在采用抗反流袖套样食管空肠吻合术进行胃癌胃切除术后的晚期随访期，对587例患者进行了检查。发现29例（4.9%）患者有轻度反流性食管炎，9例（1.5%）患者有中度反流性食管炎。127例（8.5%）患者发生了吻合口瘢痕狭窄，其中早期狭窄占70.1%，晚期狭窄占29.9%。沿导丝插入管状探条进行扩张，证明对早期狭窄的治疗有效。对于晚期狭窄，在内窥镜下切开狭窄部位，随后进行探条扩张。
