浙江医学2017，Vol.39Issue(8)：610-613,4.DOI:10.12056/j.issn.1006-2785.2017.39.8.2017-172
全胃切除术中非离断式Roux-en-Y吻合不同桥襻距离对反流性食管炎的影响研究
Relationship between reflux esophagitis and bridge loop distance in total gastrectomy with non-isolated Roux-en-Y reconstruction
摘要
Abstract
Objective To investigate the relationship between reflux esophagitis and bridge loop distance in total gastrectomy with non-isolated Roux-en-Y reconstruction.Methods Twenty-nine patients with gastric cancer treated by total gastrectomy were retrospectively analyzed.The gastrointestinal tract was reconstructed with non-isolated Roux-en-Y correlation and the bridge distance of intraoperative anastomosis was 40cm,50cm or 60cm,respectively.The operation time,intraoperative blood loss,postoperative anal recovery time,postoperative feeding time and postoperative hospital stay were observed and compared.The patients were followed up for 6 months.The gastrointestinal function,nutritional status and acid reflux score were evaluated before and 6 months after operation;the endoscopic esophageal endoscopy score was evaluated at discharge and 1,3 and 6 months after operation.Results There were no significant differences in the operation time,intraoperative blood loss,postoperative anal recovery time,postoperative eating time and postoperative hospital stay (P ＞0.05) among 3 groups.The digestive function and nutritional status were significantly improved after operation in all groups (P＜0.05),the acid reflux score was significantly lower than that before operation (P＜0.05),the endoscopic score were significantly lower than those before discharge (all P＜0.05).There were no significant differences in digestive function,nutritional status and acid reflux score among three groups before operation (P ＞0.05),and no significant difference in endoscopic scores among three groups before and after discharge (P ＞0.05).In 40 cm group the digestive function and nutritional status were significantly better,and the endoscopy scores,acid reflux scores were significantly lower than those in 50 cm and 60 cm groups (all P＜0.05).Conclusion The 40 cm may be the best bridge distance in total gastrectomy with non-isolated Roux-en-Y reconstruction,and the risk of postoperative reflux esophagitis is relatively low.关键词
全胃切除术/非离断式Roux-en-Y吻合/桥襻距离/反流性食管炎Key words
Total gastrectomy/Non-isolated type Roux-en-Y anastomosis/Bridge loop distance/Reflux esophagitis引用本文复制引用
王峰勇,叶再元,孙元水,倪海滨,吴劲风,胡抢..全胃切除术中非离断式Roux-en-Y吻合不同桥襻距离对反流性食管炎的影响研究[J].浙江医学,2017,39(8):610-613,4.基金项目
浙江省科技厅公益性技术应用研究计划社发项目(2017C33130) （2017C33130）
