横结肠间置代胃治疗贲门癌胃癌

Clinical Study of Interposition of Pedicled Transverse Colon Between Esophagus and Duodenum in Replacement of Stomacb after Resection of Cardia and Gastric Carcinoma

通过Ｘ线钡餐造影、食管镜检查与组织活检及随访，对２５例贲门癌、胃癌全胃切除后采用带蒂横结肠间置代胃术的病人进行临床研究，证实横结肠间置代胃有明显的食物贮存作用，并可预防或减少反流性食管炎。因此认为横结肠间置代胃是全胃切除后重建消化道的理想术式。

Clinical evaluation of interposition of pedicled transverse colon in replacement of stomach after resection of cardia and gastric carcinoma was carried out by barium esophagogram,esophagoscopy,biopsy and follow-up in 25 cases.The results demonstrated that interposition of the pedicled transverse colon has obvious function of food storage and can better prevent or slow down the development of reflux esophagitis.Therefore,the authors consider the transverse colon interposition technic is the ideal procedure of choice for reconstruction of digestive tract in cases of total gastrectomy.