全胃切除预防返流性食管炎方法的探讨

Prevention of Reflux Esophagitis after Total Gastrectomy

本文对28例胃癌行全胃切除,用改进的Plenk法行消化道重建,有效地防止了返流性食管炎。术后行胃镜检查,吻合口处无胆汁糜烂、出血、息肉,也未发生吻合口漏和吻合口梗阻。本文较详细地介绍了手术方法,并与其他手术术式进行了分析和比较,作者认为本法简单、可靠、易行。

Twenty-eight patients with gastric cancer were treated by total gastrectomy and the modified Plenk' s operation was used in the reconstruction of alimentary tract aiming at prevention of reflux esophagitis. On postoperative gastroscopic examination, there were no evidences of biliary erosion, bleeding or polyps found at the site of anastomosis,and nor signs of anastomotic leakage or obstruction. The handling of modified Plenk' s operation was introduced in detail,and comparison was made with other methods. It is suggested that modified Plenk' s method is a very simple,reliable,and feasible operation,and can prevent reflux esophagitis effectively.