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[接受Roux-en-Y胃空肠吻合术治疗术后碱性胃炎患者的胃排空放射性核素研究]

[Radionuclide study of gastric emptying in patients who have undergone Roux-en-Y gastrojejunostomy for postoperative alkaline gastritis].

作者信息

Asensio del Barrio C, Lapeña Gutiérrez L, Núñez Peña J, Prensa Martínez A, Martínez-Ramos C, Carreras Delgado J L

机构信息

Servicio de Medicina Nuclear, Hospital Clínico San Carlos,Madrid, Madrid,28040,España.

出版信息

Rev Esp Med Nucl. 1998;17(5):358-64.

PMID:9812010
Abstract

Roux-en-Y reconstruction is a widely used surgical procedure to reduce the postoperative gastritis secondary to biliary reflux (POGBR). Some studies have shown that after applying this technique, certain symptoms, called Roux stasis syndrome, ocurred. They seem to be caused by a delayed gastric emptying. The aim of the survey is to evaluate that emptying. Three groups have been studied: Group 1: 15 patients with POGBR after Billroth II and Roux-en-Y diversion. Group 2: 15 patients after Billroth II without POGBR. Group 3: 15 healthy volunteers. The gastric emptying after a 99mTc-DTPA-meal was performed in every patient. The stadistical study from the T1/2 emptying showed no significative differences between group 1 before and after Roux-en-Y procedure, nor between these and group 2 and 3. The gastric emptying study does not demonstrate that Roux-en-Y delays it, so it is not the reason of Roux syndrome.

摘要

Roux-en-Y重建术是一种广泛应用的外科手术,用于减少继发于胆汁反流的术后胃炎(POGBR)。一些研究表明,应用该技术后,会出现某些症状,称为Roux淤滞综合征。它们似乎是由胃排空延迟引起的。该调查的目的是评估这种排空情况。研究了三组:第一组:15例毕罗Ⅱ式和Roux-en-Y转流术后患有POGBR的患者。第二组:15例毕罗Ⅱ式术后无POGBR的患者。第三组:15名健康志愿者。对每位患者进行了99mTc-DTPA餐餐后的胃排空检查。T1/2排空的统计学研究表明,第一组在Roux-en-Y手术前后之间、以及与第二组和第三组之间均无显著差异。胃排空研究并未表明Roux-en-Y会延迟胃排空,因此它不是Roux综合征的原因。

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