在膈肌裂孔手术后出现反流性食管炎伴有狭窄的病人是外科治疗上的一个难题,裂孔处再次手术常较复杂且冒险,特别是较年老的病人,疗效也常令人失望。近年来已积累越来越多的证据,指出反流性食管炎中粘膜的损害与胆汁及胰液有关。全胃切除后作食管空肠吻合术,如果用空肠襻,则常併发食管炎,这就是采用Roux-襻的理由。 Reflux esophagitis associated with stenotic patients after diaphragmatic hole surgery is a surgical treatment of the problem, reoperation surgery often more complicated and risky, especially in older patients, the efficacy is often disappointing. In recent years has accumulated more and more evidence that reflux mucosal damage in esophagitis and bile and pancreatic juice. After total gastrectomy for esophageal jejunum anastomosis, if the jejunum 襻, often complicated by esophagitis, which is the reason for the use of Roux- 襻.