...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Gastrointestinal Surgery >Roux-en-Y Reconstruction after Distal Gastrectomy to Reduce Enterogastric Reflux and Helicobacter pylori Infection
【24h】

Roux-en-Y Reconstruction after Distal Gastrectomy to Reduce Enterogastric Reflux and Helicobacter pylori Infection

机译：远端胃切除术后Roux-en-Y重建可减少肠胃反流和幽门螺杆菌感染

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Enterogastric reflux (EGR) is regarded as an unavoidable consequence of distal gastrectomy. We evaluated the efficacy of Roux-en-Y (RY) gastrojejunostomy and Braun enteroenterostomy (BEE) for preventing EGR. Between January 2002 and January 2005, 60 patients who underwent distal gastrectomy for gastric cancer or peptic ulcers were divided into RY, Billroth II reconstruction (BII) without or with BEE (BII+B) according to reconstructive method. After 12 months, EGR and mucosal alterations of the remnant stomach were evaluated using biliary scintigraphy, endoscopy, and histology. Scintigraphy showed fasting and postprandial EGR into the remnant stomach occurred in 5.3% and 21.1% of the RY group, 62.1% and 93.1% of the BII group, and 50.0% and 91.7% of the BII+B group, respectively. Endoscopy showed bile reflux occurred in 15.8% of the RY group, 75.9% of the BII group, and 83.3% of the BII+B group. In addition, the prevalence of Helicobacter pylori (HP) infection in the RY group was less than in the other groups (P < 0.02). Therefore, RY after distal gastrectomy was effective in reducing EGR and HP infection. BEE was ineffective in diverting bile flow away from the gastric remnant.
机译：肠胃反流（EGR）被认为是远端胃切除术的不可避免的结果。我们评估了Roux-en-Y（RY）胃空肠吻合术和Braun肠肠吻合术（BEE）预防EGR的功效。在2002年1月至2005年1月之间，根据重建方法，将60例因胃癌或消化性溃疡接受远端胃切除术的患者分为RY，Billroth II重建（BII），无或有BEE（BII + B）。 12个月后，使用胆管闪烁显像，内窥镜检查和组织学评估了残余胃的EGR和粘膜改变。闪烁扫描显示，RY组的空腹和餐后EGR发生在RY组的分别为5.3％和21.1％，BII组的分别为62.1％和93.1％，BII + B组的分别为50.0％和91.7％。内窥镜检查显示，RY组的胆汁反流发生率为15.8％，BII组为75.9％，BII + B组为83.3％。此外，RY组的幽门螺杆菌（HP）感染率低于其他组（P <0.02）。因此，远端胃切除术后的RY可有效减少EGR和HP感染。 BEE不能有效地将胆汁流从胃残余物转移开。

著录项

  • 来源
    《Journal of Gastrointestinal Surgery》 |2007年第12期|1732-1740|共9页
  • 作者

    De-Chuan Chan; Yu-Ming Fan; Chih-Kung Lin; Cheng-Jueng Chen; Ching-Yuan Chen; You-Chen Chao;

  • 作者单位

    Division of General Surgery Tri-Service General Hospital National Defense Medical Center Taipei Taiwan;

    Department of Nuclear Medicine Tri-Service General Hospital National Defense Medical Center Taipei Taiwan;

    Department of Pathology Tri-Service General Hospital National Defense Medical Center Taipei Taiwan;

    Division of General Surgery Tri-Service General Hospital National Defense Medical Center Taipei Taiwan;

    Department of Nuclear Medicine Tri-Service General Hospital National Defense Medical Center Taipei Taiwan;

    Division of Gastroenterology Tri-Service General Hospital National Defense Medical Center National Defense University Taipei 114 Taiwan;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Enterogastric reflux; Roux-en-Y gastrojejunostomy; Braun enteroenterostomy; Helicobacter pylori;

    机译：肠胃返流;Roux-en-Y胃空肠吻合术;Braun肠肠胃吻合术;幽门螺杆菌;肠杆菌;

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号