间置空肠重建消化道体会

The experiences of reconstruction for the digestive tract after total gastrectomy by interposition jejunum

目的 探讨全胃切除后消化道重建的理想术式。方法 全胃切除后游离 2 5cm长带血管蒂的空肠间置于食道与十二指肠之间。该术式简单安全 ,符合生理要求。结果 2 8例近期恢复顺利 ,无并发症、死亡病例 ,远期随访无肠道症状、无返流性食道炎、无营养障碍 ,体重增加 ,均能参加劳动。

Objective To investigate ideal procedure of reconstruction for the digestive tract after total gastrectomy.Methods:After total gastrectomy,the 25 centimeters length jejunum with vessel pedicle was dissociated and was inosculated between esophagus distal and duodenum proximal end.This procedure is simple and meet the physiological need.Results:28 cases of patients were curved recently without complications and death.All patients wre followed up long term survey that they had no intestinal symptoms,reverse esophagitis and nutritional deficiency.Their body weights were increased significantly and could take part in labor.Conclusion:This procedure is the ideal reconstruction operation for the digestive tract after total gastrectomy.