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一个时期来,对胃食管返流(GER)的外科治疗几乎限于GER引起的严重并发症或经内科治疗无效的病人。但经内科治疗后,一部分病例发展成短食管。为了解后天性短食管的病理生理,作者对34例有GER症状或裂孔疝的病人作了研究。14例就诊时已有短食管,另20例开始观察时裂孔疝尚为可复性,之后出现短食管。所有病人均未接受食管胃交界或胃部手术;凡因从小发生返流症状而疑有先天性畸型者均不在研究范
For some time, the surgical treatment of gastroesophageal reflux (GER) has been limited to almost any serious complication caused by GER or ineffective medical therapy. However, after medical treatment, some cases developed into short esophagus. In order to understand the pathophysiology of acquired short esophagus, the authors studied 34 patients with GER symptoms or hiatal hernia. 14 cases had a short esophagus at the time of diagnosis and the other 20 cases started to observe the hiatus hernia is still refastenable, followed by a short esophagus. All patients did not receive esophagogastric junction or stomach surgery; who have been diagnosed with congenital malformations due to childhood reflux symptoms are not in the study