胃大部切除术后输入袢坏死的预防和外科治疗

Prevention and surgical treatment of afferent loop necrosis following subtotal gastrectomy

目的探讨胃大部切除术后输入袢坏死的原因及防治措施。方法对6例胃大部切除术后并发输入袢坏死病人的临床资料进行回顾性分析。结果6例病人均经两次手术而治愈,无围手术期死亡。结论预防胃大部切除术后输入袢坏死的关键是防止和及时治疗各种原因引起的胃大部切除术后输入袢急性梗阻。简短剖腹探查术是处理胃大部切除术后输入袢坏死的一种有效的方法,值得进一步推广应用。

Objective To investigate the cause, prevention, and surgical treatment of afferent loop necrosis following subtotal gastrectomy. Methods Clinical data from six patients with afferent loop necr osis following subtotal gastrectomy were analyzed retrospectively. Results All patients were cured by two operations and no death occurred. Conclusions The key points for preventing this complication are to avoid and manage acute obstruction of afferent loop on a timely base. The op eration of brief laparotomy exploration is an effective treatment for afferent l oop necrosis following subtotal gastrectomy, which is suggested to be performed in appropriate cases.