胃切除术后消化道反流的形成与防治  

Formation, prevention and treatment of post-gastrectomy reflux

作　　者：黄雷[1,2] 徐阿曼[1,2] 

机构地区：[1]安徽医科大学第一临床学院,合肥230032 [2]安徽医科大学第一附属医院普外一科,合肥230032

出　　处：《国际外科学杂志》2013年第7期465-468,共4页International Journal of Surgery

摘　　要：消化道反流是胃切除术后一种常见并发症。胃切除后由于生理抗反流机制的破坏而不可避免地出现反流，严重影响患者术后的生活质量。胃切除后消化道重建所应满足的基本要求之一是降低术后反流率。现存多种抗反流术式，为目前国内外外科领域临床研究热点之一。术后反流非手术治疗，多集中于促进胃肠动力、保护黏膜、抑酸等。关于抗反流手术方式的选择及相关的非手术治疗，学术界中尚存争议。深入了解相关反流机制、选择恰当的抗反流术式并配合正确的非手术治疗对有效提高患者胃切除术后的生活质量有重大意义。Reflux is a common post-gastrectomy complication due to the destruction of physiological anti- reflux mechanism, which affects patients＇ post-surgery life quality greatly. It＇s one of the basic requirements of digestive tract reconstruction to reduce the incidence of post- surgery reflux, and nowadays there are many kinds of anti-reflux surgical methods, which are also hot topics both at home and abroad. The non-surgical anti-reflux treatments are mainly focused on gastrointestinal motility promotion, mucosa protection, acid sup- pression, and so on. There are still some controversies concerned with which surgical or non- surgical way to choose. It＇s of great significance to have a deep insight into the associated mechanisms and make a wise de- cision on the surgical management with proper non-surgical assistance.

关 键 词：胃切除术 消化道重建 胃食管反流 机制 治疗应用 

分 类 号：R735.2[医药卫生—肿瘤]