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目的 :寻找胃恶性肿瘤行全胃切除术后的合理消化道重建方法。方法 :观测二种不同重建方法后病人的并发症及营养指标。结果 :二种方法手术并发症相同 ,采用原位十二指肠、空肠翻转代胃术病人消化道症状略高于于P形空肠Roux -en -y病例 ,该病例经过药物治疗半年后大多数无症状。采用原位十二指肠、空肠翻转代胃术病人营养指标优于P形空肠Roux -en -y。结论 :如果注意升袢长度及药物辅助的情况下 ,采用原位十二指肠、空肠翻转代胃术优于P形空肠Roux -en -y术。
Objective: To find a reasonable method of gastrointestinal reconstruction after total gastrectomy for gastric malignancies. Methods: To observe the complication and nutritional status of patients after two different reconstruction methods. Results: The two methods had the same surgical complications. The digestive tract symptoms in situ duodenum and jejunum were significantly higher than those in Roux-en -y cases of P-jejunum. Most of the patients after drug treatment for six months Asymptomatic. Adopting in situ duodenum and jejunal turnover on behalf of the stomach patients nutrition indicators better than the P-type jejunum Roux-en-y. CONCLUSIONS: If attention is paid to the length of L astigmatism and drug-assisted surgery, in situ duodenum and jejunum flipping is better than P-jejunal Roux-en -y in treating stomach.