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食管癌切除后食管炎是一个十分普遍的问题,主要是食管与胃之间的抗反流屏障遭到破坏和胃食管反流所致,食管不能清除反流物是另一致病原因。作者对30例食管癌切除术后一年左右的病人进行了食管镜检查,发现患者取右侧卧位比左侧卧位更易发生反流。病理组织学检查表明,全部患者均存在不同程度的食管炎症。睡眠时取半卧位是有效的防治方法。作者提出了食管炎的病理组织学分级标准。
Esophagitis after resection of esophageal cancer is a very common problem, mainly due to the destruction of the anti-reflux barrier between the esophagus and the stomach and the reflux of gastroesophageal reflux. Esophageal inability to remove reflux is another cause of the disease. The authors conducted esophagoscopy on 30 patients who had undergone resection of esophageal cancer for about one year and found that the patient was more prone to regurgitation in the right lateral position than in the left lateral position. Histopathological examination showed that all patients had different degrees of esophageal inflammation. Taking a semi-recumbent position during sleep is an effective method of prevention. The authors proposed a histological grade for esophagitis.