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目的 对回盲肠间置代胃术应用于胃肠道重建术中的临床前景做初步研究。方法 采用内镜检查、食管压力测定、２４ｈ食管ｐＨ监测、胃液总胆汁酸含量测定、上消化道钡餐透视和生存质量测定等多项指标检测方法，对８例回盲肠间置代胃术患者作代胃功能监测，并与同期１５例空肠代胃术患者或１５位正常人作对照。结果 回盲肠间置代胃术的回盲瓣有良好的抗胃食管反流作用。结肠有充分的容量，是一个良好的贮存袋。保留的幽门具有良好的抗碱性反流和防止胃排空过快作用。患者术后生存质量满意。结论 回盲肠间置代胃术是理想的、接近生理状态的胃肠道重建方法。
Objective To study the clinical prospects of ileocecal enteral gastrostomy in gastrointestinal reconstruction. METHODS: Endoscopic examination, esophageal pressure measurement, 24-hour esophageal pH monitoring, determination of total bile acid in gastric juice, upper digestive tract meal perspective, quality of life, and other indicators were used to detect 8 cases of ileocecal gastrostomy. On behalf of the stomach function monitoring, and compared with 15 patients with jejunal gastrostomosis or 15 normal controls in the same period. RESULTS: The ileocecal valve with ileocecal gastrostomy had good anti-gastric esophageal reflux effect. The colon has full capacity and is a good storage bag. The retained pylorus has good anti-alkaline reflux and prevents excessive emptying of the stomach. The patient’s postoperative quality of life was satisfactory. Conclusion The ileocecal enterogastric surgery is an ideal and nearly physiological state of gastrointestinal reconstruction.