论文部分内容阅读
本文报道5例食管胃吻合术后并发胃梗阻,发生率0.95%,分析其原因有胃扭转,膈疝,肿大的肝脏压迫幽门部,功能性幽门痉挛。提出了预防和治疗措施。如为机械性胃梗阻,一经诊断明确,应再次手术,解除梗阻原因。如胃扭转可行胃窦部空肠吻合术;如因迷走神经切断后所致胃张力减低及幽门痉挛,可通过保守治疗,一般可自行缓解。本组5例经再次剖腹手术解除胃梗阻原因后,症状消失痊愈出院。
This article reported 5 cases of gastric obstruction after esophagogastric anastomosis, the incidence of 0.95%, analysis of the reasons for gastric torsion, hernia, swollen liver oppressed pylorus, functional pyloric fistula. Proposed prevention and treatment measures. If it is a mechanical stomach obstruction, once the diagnosis is clear, surgery should be performed again to remove the cause of obstruction. Such as the stomach can be twisted jejunostomy jejunostomy; if due to vagotomy caused by reduction of gastric hypotonia and pyloric spasm, can be treated conservatively, generally can relieve itself. In this group of 5 cases, after undergoing a relapsing laparotomy to relieve the cause of gastric obstruction, symptoms disappeared and they were discharged.