胃癌全胃切除术后反流性食管炎危险因素分析及治疗  

Analysis of risk factors of reflux esophagitis after total gastrectomy for gastric carcinoma patients and its treatment

作　　者：颜歆 张洪志[1] 姚国忠[1] 吴醒 YAN Xin;ZHANG Hongzhi;YAO Guozhong;WU Xing(Department of General Surgery,People＇s Hospital of Liyang,Liyang,Jiangsu 213300)

机构地区：[1]江苏省溧阳市人民医院普外科,江苏溧阳213300

出　　处：《实用临床医药杂志》2018年第11期51-54,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨胃癌全胃切除术后反流性食管炎的危险性因素。方法回顾性分析68例胃癌全胃切除术后反流性食管炎患者的临床资料,对其发生的相关危险因素进行分析。结果胃癌全胃切除术后反流性食管炎与手术方式、胆囊切除、体型、空肠代胃长度等有关,与性别、年龄、肿瘤分期、食管切除长度、吻合口大小等无关。随访发现随着术后时间的增加,反流性食管炎有减轻趋势。结论全胃切除术后反流性食管炎与手术方式、胆囊切除、体型、空肠代胃长度等有关。Objective To investigate the risk factors of reflux esophagitis after total gastrectomy for gastric carcinoma patients. Methods Clinical data of 68 cases with reflux esophagitis after total gastrectomy in gastric carcinoma patients were analyzed retrospectively,the related risk factors of reflux esophagitis were analyzed. Results Reflux esophagitis showed correlations with type of surgery,cholecystectomy,patient somatotype,length of jejunal reservoir for stomach replacement. No correlations were found between reflux esophagitis and gender,age,stage of the tumor,length of esophageal excision,size of anastomosis. With the extension of postoperative time,the reflux esophagitis was gradually relieved. Conclusion There is a correlation between reflux esophagitis and type of surgery,history of cholecystectomy,patients’ somatotype,length of jejunal reservoir for stomach replacement.

关 键 词：全胃切除术 反流性食管炎 危险因素 

分 类 号：R735.2[医药卫生—肿瘤]