胃部分切除胃空肠Roux-en-Y吻合治疗十二指肠乳头旁憩室12例

Partial Gastrectomy with Roux-en-Y Reconstruction for the Treatment of Cholangitis Caused by Peripapillary Diverticulum

目的 探讨胃部分切除Roux en Y吻合旷置十二指肠治疗十二指肠乳头旁憩室并发胆管炎的效果。方法 对 12例采用胃部分切除胃空肠Roux en Y吻合旷置十二指肠病人的临床病理资料进行分析。结果 术后全部病人反复发作的胆管炎症状消失 ,无严重并发症。随访 5～ 16年 ,无胆汁反流性胃炎、吻合口狭窄、溃疡、胆囊结石和残胃癌发生。结论 远端胃部分切除胃空肠Roux en Y吻合旷置十二指肠是治疗十二指肠乳头旁憩室并发胆管炎有效的方法。

Objective To explore the effect of Roux-en-Y reconstructin after gastrectomy for the treatment of tholangitis caused by peripapillary diverticulum.Methods The clinical and pathological data of 12 cases with peripapillary diverticulum treated by Roux-en-Y reconstruction after gastrectomy were analysesd retrospectively.Results The condition of cholangotis was gone on all patients postoperatively. There was no complication and recurrent nor alkaline reflux gastritis, stenosis, anastomotic ulcer, cholecystolithiasis and gastric remant carcinoma at a follow up of 5～16 years.Conclusion Roux-en-Y reconstruction after gastrectomy offers well outcome for the treatment of peripapillary duodenal diverticulum.