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胃大部切除回盲瓣代幽门术10例报告

GASTRECTOMY—ILEOCECAL VALVE REPLACES PYLORUS:REPORT OF 10 CASES
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摘要 为了避免胃大部切除后某些近、远期并发症,对胃肠道重建术式进行改良,以重建幽门为出发点,采用了具有控制排空和抗返流作用的回盲瓣代替幽门。手术要点是带血管蒂的回盲肠段间置于残胃和十二指肠间。手术10例,经术后第7天和3个月以后胃液、钡餐透视和胃镜检查,均无倾倒综合征发生及胆汁返流,体重均有所增加,尚无溃疡复发者。近期观察初步认为该术式是较为理想的手术方式。 In order to avoid recent and future complications after subtotal gastrectomy, the rebuilding operation of the gastrointestinal tract was improved and the ileocecal valve which could control evacuation and resist refluence was used to replace the pylorus. Such operations of 10 cases were performed. 7 days and 3 months after the operations, gastric juice was examined respectively; barium meal fluoroscopy and gastroscopy were made. All this showed that no dumping syndrome and bile regur gitation occured. All patients operated on gained in weight and no ulcer recured. It's believed that this operational mode is a quite ideal one.
出处 《临沂医学专科学校学报》 1991年第3期195-197,共3页 Journal of Linyi Medical College
关键词 胃切除 回盲瓣代 幽门 Subtotal gastrectomy Gastroenterostomy Pylorus Ileocecal valve
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