检验医学与临床Issue(23)：3472-3473,3476,3.DOI:10.3969/j.issn.1672-9455.2015.23.009
全胃切除术后两种消化道重建术式消化道动力的研究
Research of the effects of two different reconstruction on the dynamics in digestive tract after total gastrectomy
摘要
Abstract
Objective To investigate and compare the changes of the dynamics in digestive tract in patients re‐spectively received esophagus jejunum Roux‐Y anastomosis and single pouch jejunum interposition after total gastrec‐tomy ,so as to provide a reference for the treatment after total gastrectomy .Methods From January 2010 to June 2013 ,126 patients with 6‐month survival after total gastrctomy were selected in Hechuan District People′s Hospital and divided into two groups :observation group (n= 63) and control group (n= 63) .63 healthy people were enrolled in normal group at the same time .The patients of control group and observation group were treated by single pouch jejunum interposition and esophagus jejunum Roux‐Y anastomosis ,respectively .Normal group did not exert interven‐tion .The performance of dynamics in digestive tract in three groups were observed and compared .Results Compared with control group ,the weight ,the number of meals per day ,the daily food intake significantly reduced (P< 0 .05) , however ,neither control group nor observation group was significantly different from normal group (P > 0 .05) .In observation group ,the numbers of people with adverse reactions ,such as reflux esophagitis ,dumping syndrome ,belc‐hing and early satiety disease ,were significantly more than control group (P< 0 .05) ,however ,neither control group nor observation group was significantly different from normal group (P> 0 .05) .There was no significant difference of nutrition indicators among three groups (P> 0 .05) .Conclusion The improvement of digestive tract dynamics in patients with esophagus jejunum Roux‐Y anastomosis was as good as the patients with single pouch jejunum interpo‐sition ,however ,patients with esophagus jejunum Roux‐Y anastomosis had more adverse reactions after surgery .Suit‐able reconstruction method should be chose ,according to the patient′s situation ,and single pouch jejunum interposi‐tion should be the preferred method .关键词
全胃切除术/食管空肠 Roux-Y 吻合术/单腔空肠间置术/消化道动力Key words
total gastrectomy/esophagus jejunum Roux-Y anastomosis/single pouch jejunum interposi-tion/dynamics in digestive tract引用本文复制引用
李强,谢刚银,侯俊,龙腾..全胃切除术后两种消化道重建术式消化道动力的研究[J].检验医学与临床,2015,(23):3472-3473,3476,3.基金项目
重庆市卫生和计划生育委员会科研基金资助项目（20143055）。 （）
