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食管癌或贲门癌切除食管胃吻合术后存在胃食管反流。食管癌或贲门癌术后患者进行食管胃的压力测定,结果显示吻合口上方的静息压高于吻合口下方的静息压。食管24小时pH监测表明术后胃食管反流是客观存在的。内镜检查和病理检查,患者有异常现象及食管炎征象。胃食管反流的发生不因机械吻合或手工吻合而异。反流的发生与术后时间的长短无关。食管24小时pH监测是最敏感的观察方法。半卧位睡眠是预防反流的有效方法。反流的治疗主要应用促动力药和粘膜保护剂。
Esophageal or cardiac cancer resection esophagogastrostomy gastroesophageal reflux. Esophageal or gastric cardia cancer patients underwent esophageal and gastric pressure measurements showed that resting pressure above the anastomosis above the resting pressure below the anastomosis. 24-hour esophageal pH monitoring showed that postoperative gastroesophageal reflux is objective. Endoscopy and pathological examination, patients with abnormal phenomena and signs of esophagitis. Gastroesophageal reflux does not occur due to mechanical anastomosis or manual anastomosis. Reflux occurred with the length of time after surgery has nothing to do. 24-hour esophageal pH monitoring is the most sensitive method of observation. Semi-recumbent sleep is an effective way to prevent reflux. Reflux treatment is mainly used to promote drugs and mucosal protective agent.