中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

近端胃切除术后胃食管反流防治

所    剑，李    伟   

  1. 吉林大学第一医院胃结直肠肛门外科，吉林长春 130021
  • 出版日期:2017-04-01 发布日期:2017-03-31

  • Online:2017-04-01 Published:2017-03-31

摘要：

近端胃切除是治疗胃食管结合部和胃底区域良恶性肿瘤的一种手术方式，能够保留更多的胃功能并使病人获得更好的生活质量。由于胃上部切除后破坏了胃食管结合部的解剖结构和生理功能等所导致的反流性食管炎是该术式降低病人术后生活质量的主要因素。近端胃切除术后消化道重建方式种类多样，选择合适的消化道重建方式对预防反流性食管炎具有重要价值。一旦术后发生反流性食管炎，可采用手术、介入以及药物等多种方式进行治疗，尽量提高病人生活质量。

关键词: 近端胃切除术, 反流性食管炎

Abstract:

Prevention and treatment of reflux esophagitis after proximal gastrectomy        SUO Jian，LI Wei. Department of Gastrointestinal Surgery，the First Hospital of Jilin University，Changchun 130021，China
Corresponding author：SUO Jian，E-mail：suojian0066@126.com
Abstract    Proximal gastrectomy is one of operation methods to treat the benign and malignant tumors of the esophagogastric junction and gastric fundus which can reserve more function of the stomach and get a better quality of life after surgery. For the reason of the upper gastrectomy，breaking the anatomical structures and biological function and other reasons leading to reflux esophagitis are the main reasons for reducing postoperative quality of life. Many different types of reconstruction have been proposed. It is of important values to choose appropriate reconstruction methods to prevent reflux esophagitis. Surgery，intervention therapy and pharmacotherapy can be used to treat reflux esophagitis and to improve the quality of life of patients.

Key words: proximal gastrectomy, reflux esophagitis