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目的对回盲肠间置代胃术应用于胃肠道重建术中的临床前景做初步研究。方法采用胃镜检查、上消化道钡餐透视等指标及方法,对7例回盲肠间置代胃术患者作代胃功能观察。结果回盲肠间置代胃术的回盲瓣有良好的抗胃食管反流作用。结肠有充分的容量,是一个良好的贮存袋。保留的幽门具有良好的抗碱性反流和防止胃排空过快作用。结论回盲肠间置代胃术是理想的、接近生理状态的胃肠道重建方法。
Objective To make a preliminary study on the clinical prospects of ileocecal enteral gastrostomy in gastrointestinal reconstruction. Methods Gastrointestinal examination, upper digestive tract barium meal fluoroscopy and other indicators and methods were used to observe the gastric function in 7 cases of ileocecal gastrostomy. Results The ileocecal valve with ileocecal gastrostomy had good anti-gastric esophageal reflux effect. The colon has full capacity and is a good storage bag. The retained pylorus has good anti-alkaline reflux and prevents excessive emptying of the stomach. Conclusions The ileocecal enterogastric surgery is an ideal approach to the gastrointestinal reconstruction approaching the physiological state.