残胃癌的流行病学及预防有关问题  

Some matters about epidemiology and prevention of gastric stump carcinoma

作　　者：陈凛[1] 王宁[1] 

机构地区：[1]中国人民解放军总医院普通外科,北京100853

出　　处：《中国实用外科杂志》2009年第10期806-807,共2页Chinese Journal of Practical Surgery

摘　　要：残胃癌是指因胃或十二指肠良性病变而行胃大部切除术5年以上由残胃发生的原发肿瘤。影响残胃癌发生的因素较多,概括起来主要有:年龄、性别、术后间隔时间、吻合方式、幽门螺旋杆菌、十二指肠胃反流以及胃泌素减少及消化因素等。针对残胃癌发生的影响因素,对因胃、十二指肠病变需要行胃部手术及术后病人,应采取相应的预防措施,积极避免残胃癌的发生。Gastric stump carcinoma （GSC） is defined as a carcinoma occurring in the gastric remnant at least 5 years after surgery for benign peptic ulcer disease. Carcinomas in the gastric stump occurring are thought to have a different mechanism of carcinogenesis including age, gender, postoperative time interval, type of operation, HP infection, duodenogastric reflux and less gastrin, etc. Due to the factors, it should adopt some protective measures so as to avoid the necuranee of GSC.

关 键 词：残胃癌流行病学研究 幽门螺旋杆菌感染 胃肠反流 

分 类 号：R6[医药卫生—外科学]