胃切除术后的管理经验 严重的性反流食道炎
Hugo C Temperley1, Eimear Phoenix1,2, Caitlin Waters1
1National Oesophagogastric Cancer Centre, Trinity St James Cancer Institute, St James's Hospital, Dublin, Ireland.
The American surgeon
|July 14, 2023
概括
胃切除术后严重的性反流食道炎可以通过结节缩和鲁克斯四肢修订进行治疗. 这种手术方法为大多数患者提供了症状缓解,改善了胃癌手术后的结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 消化系统手术 消化系统手术
背景情况:
- 性反流食道炎是已知的后续并发症,损害了下缩管 (LES) 的程序,如胃切除术.
- 重建手术的选择显著影响了反流的发生率,而Roux-en-Y (RY) 食道结节术通常被认为是最佳的.
研究的目的:
- 报告在胃癌手术后管理严重的性反流食道炎的经验.
- 为了评估治疗性手术干预的有效性,涉及向前关节缩和Roux肢体长度修订.
主要方法:
- 在2014年至2020年期间,对5名因胃切除术后的严重性反流性食道炎接受了补救手术的患者进行了回顾性评估.
- 外科干预包括所有患者的内关节缩和鲁克斯肢体长度修改.
- 患者的初步诊断是胃腺癌或胃神经内分泌瘤.
主要成果:
- 五分之四的患者在手术干预后经历了一定程度的症状缓解.
- 一名患者在随访时出现了持续的未解决的症状.
- 术后症状发病时间从2周到3年不等.
结论:
- 手术修复,特别是带有Roux肢体长度调整的节节缩,可以作为胃切除术后严重的性反流食道炎的有效治疗方法.
- 这种方法为经历胃癌手术后耐火性逆流的患者提供了潜在的症状缓解.
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