 Wysłany: Sob 4:49, 26 Mar 2011 Temat postu: Digestive tract reconstruction after total gastrec |
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| Digestive tract after total gastrectomy reconstruction analysis of 58 cases
The occurrence of esophagitis . ② Roux-Y method: jejunum end ISl esophageal anastomosis , proximal jejunum and distal jejunum end to side anastomosis , anastomotic distance of 40cm, 2cm above the anastomosis to do the next set of overlapping suture , the distal intestinal wall intestinal wall sutures in the proximal That result in an artificial nipple , the Y- side anastomosis with the wall above the intestinal wall after the closure of several overlapping sets of needles ,herve leger outlet, more than intussusception . Prevention of intussusception above the natural retraction. Also enter the loop folding sheath and esophagus into the jejunum anastomotic angle formed man of the input port loop obstruction, duodenal obstruction alkaline solution reflux , but also prevents the occurrence of reflux esophagitis . More than 58 surgical patients, 3 patients had esophageal burning, but not confirmed esophagitis. Dumping syndrome after total gastrectomy because of stomach volume of its small , Jilin Medical Information ) Volume 21 , 2004 , without a good mix of food that is poured into the jejunum digestion , which contains a large number of hypertonic fluids can lead to intestinal fluid secretion. After which the surgical result in improved food storage pouch is divided pyloric sphincter , the food slowly into the small intestine, 58 cases occurred in 1 case was not dumping syndrome. In summary , duodenal exclusion , esophageal anastomosis of the jejunum jejunum anastomosis in esophageal and Y -shaped anastomosis between the jejunum more than 30cm distance , we can avoid regurgitation , and because of that section of the jejunum may be able to Compensation expansion, may have a larger capacity , the operation is simple. We believe that is an ideal surgical reconstruction of the digestive tract . |
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