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全胃切除对机体的生理干扰较大,破坏了消化道的连续性和完整性,影响食物的消化和吸收,术后患者均有一些并发症出现。如:返流性食管炎、早期或晚期倾倒综合征、顽固性贫血、消化吸收不良以及腹泻、餐后上腹部轻度闷痛、食欲低下等症状,统称为胃切除术后综合征。全胃切除后消化道重建术式已达70多种,以期克服上述并发症。其中保持经十二指肠通路间置空肠(附加/无空肠袋)被认为可以提高患者的生活质量,降低上述并发症。近端或远端胃次全切除术后在残胃和十二指肠间间置一段空肠(附加空肠袋/无袋)可以改善患者的营养状况,提高患者的生活质量。预后营养指数(PNI)、Visik评分、Spitzer指数和欧洲癌症研究治疗机构问卷(EORTCQLQ-C30)都可以被用于评估胃切除术后患者的生活治疗及营养状况。
Total gastrectomy on the body physiological disturbance, destroyed the continuity and integrity of the digestive tract, affecting the digestion and absorption of food, postoperative patients have some complications. Such as: reflux esophagitis, early or late dumping syndrome, intractable anemia, digestion and malabsorption and diarrhea, mild postoperative abdominal tenderness, appetite and other symptoms, collectively referred to as gastrectomy syndrome. Total gastrectomy after digestive tract reconstruction has reached more than 70 kinds of procedures in order to overcome the complications. Among them, the placement of jejunum (attachment / jejunal pouch) between the duodenum passages is considered to improve the quality of life of patients and reduce the above complication. The proximal or distal subtotal gastrectomy in the residual stomach and duodenal space between the placement of a jejunum (additional jejunal bag / bagless) can improve the patient’s nutritional status, improve patient quality of life. Prognostic Nutrition Index (PNI), Visik Score, Spitzer Index and the European Agency for Research on Cancer Research and Treatment (EORTCQLQ-C30) can all be used to assess the life care and nutritional status of patients after gastrectomy.