腹腔镜联合食管支架治疗合并食管下端狭窄的小儿胃食管反流  

Esophageal stent placement during laparoscopic fundoplication, a novel technique for the treatment ofesophagus stricture secondary to pediatric GERI~

作　　者：黄柳明[1] 盛剑秋[2] 刘钢[1] 王伟[1] 余梦楠[1] 段炼[1] 覃胜灵[1] 张璟[1] 

机构地区：[1]北京军区总医院附属八一儿童医院儿童外科,北京市100000 [2]北京军区总医院消化内科,北京市100700

出　　处：《临床小儿外科杂志》2013年第1期22-24,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨腹腔镜胃底折叠联合食管支架治疗合并食管下段狭窄的小儿胃食管反流的初步疗效。方法对6例胃食管反流并食管下段狭窄患儿采取腹腔镜胃镜下联合手术治疗，总结其手术情况及术后短期随访情况。结果除1例二次手术者中转开腹手术外，其余均顺利完成手术。术后1例出现轻度吞咽困难，1例支架异位。随访中3例取出支架，3例仍保留支架者未出现术后狭窄。结论腹腔镜胃底折叠联合食管支架置入治疗合并食管下段狭窄的小儿胃食管反流短期疗效良好。Objetive Introduce our technique and preliminary result on treating pediatric gastroesopha- geal reflux disease（GERD） with lower segment esophageal stricture. Methods A retrospective analyses of 6 eases who underwent laparoseopie nissen fundoplieation and stent setting simultaneously. Result One reopera- five ease turned laparotomy. 5 cases were uneventful after operation. One case were found mild dysphagia but quickly recovered spontaneously. During follow up at 3 -22 months, three stents were extracted. Two at six month after operation, the other was due to unexpected dislocation. There was no recurrent esophageal stricture found. Condusion Laparoseopic fundoplication combined with esophageal stent placement should be an ef- fective technique for pediatric GERD with esophageal stricture. But long term follow up still needed.

关 键 词：胃食管反流 食管狭窄 腹腔镜 胃底折叠术 儿童 

分 类 号：R735.105[医药卫生—肿瘤]