本文报道食管癌及贲门癌切除术后膈疝15例(占切除病例0.83％),男13例,女2例,年龄39～64岁;其中食管及贲门癌各12及3例;术中行弓上及弓下吻合各11及4例。膈疝出现时间7例于手术后2周内,8例于术后2周～4年。隔疝成因为腹压增高使移植胃体与膈肌新裂孔间缝线撕脱。典型症状为腹痛、恶心、呕吐及无排气排便。体检13例有腹胀及肠鸣音 This article reported 15 cases of esophageal and cardiac cancer resection (resection cases 0.83%), 13 males and 2 females, aged 39 to 64 years old; 12 cases of esophageal and cardiac cancer each and 3 cases; intraoperative bow line And under the arch anastomosis of 11 and 4 cases. The appearance time of the fistula was 7 cases within 2 weeks after the operation and 8 cases were from 2 weeks to 4 years after the operation. Because of the increase in abdominal pressure, the diaphragm was avulsed by the new intersegmental suture line between the transplanted gastric body and diaphragm. Typical symptoms are abdominal pain, nausea, vomiting, and no defecation. 13 cases of abdominal distention and bowel sounds