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病例资料患者,男,60岁,因“贲门癌术后伴反流、纳差1年余”入院。患者1年余前因贲门癌于宿迁市人民医院行根治性近端胃大部切除+食管残胃(后壁)吻合术,术后病理学报告示:近端胃腺癌Ⅱ~Ⅲ级,ⅠA期(T1b N0M0),侵及黏膜下层,淋巴结未见癌转移(0/16)。术后患者出现反酸症状并逐渐加重,伴纳差,抑酸药物的效果差,术后5个月随访时体质量减轻了15 kg,后反复多次住院行静脉营养支
Case data, male, 60 years old, because of “cardia cancer with reflux, anorexia more than 1 year” admitted. Patients with cardia cancer more than 1 year in Suqian People’s Hospital of radical proximal gastrectomy + esophageal remnant (anterior wall) anastomosis, postoperative pathology report shows: proximal gastric adenocarcinoma Ⅱ ~ Ⅲ grade, Ⅰ A period (T1b N0M0), invasion and submucosa, no lymph node metastasis (0/16). Patients with postoperative acid reflux symptoms and gradually increased, with anorexia, the effect of acid-suppressing drugs poor, after 5 months of follow-up weight loss of 15 kg, after repeated multiple hospitalized venous nutrition branch