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目的 进一步评价短袢Roux -en -Y吻合术的抗返流效果 ,探讨Roux淤积综合征的防治方法。方法 随访1989年 7月至 1997年 6月完成的胃癌切除胃空肠短袢Roux -en -Y吻合术 15 1例 ,通过症状调查 ,消化道钡餐、胃镜并活检、B超、CT检查确定短袢Roux -en -Y吻合术的抗返流效果及Roux淤积综合征的发病率。结果 143例 (95 % )获随访结果 ,未发现有明显症状的返流性胃炎 ,无倾倒综合征和Roux淤积综合征。结论 扩大胃的切除范围 ,同时缩短Roux袢的长度可防治Roux淤积综合征 ,对空肠吻合口进行抗返流加工 ,短袢Roux-en -Y吻合抗返流效果满意
Objective To evaluate the anti-reflux effect of Roux -en-Y anastomosis in order to explore the prevention and treatment of Roux deposition syndrome. Methods A total of 151 patients with gastric cancer were treated with Roux-en-Y anastomosis performed from July 1989 to June 1997. Symptoms, digestive tract barium meal, endoscopy and biopsy, B- Roux-en-Y anastomosis anti-reflux effect and the incidence of Roux deposition syndrome. Results 143 cases (95%) were followed up, no obvious symptoms of reflux gastritis, no dumping syndrome and Roux deposition syndrome. Conclusions Expanding the scope of gastric resection and reducing the length of Roux 可 can prevent Roux deposition syndrome and prevent the jejunum anastomosis from anti-reflux. Roux-en-Y anastomosis with anti-reflux effect is satisfactory