Siewert Ⅱ/Ⅲ型食管胃结合部腺癌近端胃切除术后消化道重建方式的选择  

Choice of digestive tract reconstructive procedure after proximal gastrectomy for Siewert type Ⅱ/Ⅲ adenocarcinoma of the esophagogastric junction

作　　者：徐宁[1] 董剑宏[1] XU Ning;DONG Jian-Hong(Department of Minimal Invasive Digestive Surgery,Tumor Hospital,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学附属肿瘤医院消化微创外科中心,太原030001

出　　处：《中华老年多器官疾病杂志》2018年第7期557-560,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：Siewert Ⅱ/Ⅲ型食管胃结合部腺癌(AEG)早癌诊治率逐年升高,近端胃切除是各指南推荐的最佳切除范围。但早期采用的食管残胃吻合方式重建后反流性食管炎(RE)发生率较高,严重影响患者手术后生活质量,因此衍生出多种重建方式来解决这一问题。然而各种方式均有其优缺点,而哪种重建方式最佳目前尚存较大争议。本文就近端胃切除后消化道重建的历史演变及目前各种方式存在的争议作一梳理。In recent years,there were more and more Siewert typeⅡandⅢadenocarcinoma of the esophagogastric junction(AEG)diagnosed and treated at early stage,and proximal gastrectomy is an optional excision range recommended by various guidelines.But esophagogastrostomy used in early reconstruction causes quite higher incidence of reflux esophagitis(RE),which seriously affect the quality of life in these patients.Therefore,multiple procedures were derived to solve this problem.However,all these procedures have their own advantages and disadvantages,and there is still controversies about which one is the best.In this paper,we reviewed the historical evolution of digestive reconstruction after proximal gastrectomy and the existing controversies of various procedures.

关 键 词：胃癌 近端胃切除术 消化道重建 反流性食管炎 

分 类 号：R735.2[医药卫生—肿瘤]