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为30例贲门癌切除行空肠段间位移植术预防返流性食管炎或碱性返流性胃炎取得初步效果。30例中,除1例腹腔内出血经再手术而痊愈外,无其它并发症。术后半年对其中14例作钡剂与胃镜检查,除1例20cm长间位空肠有轻度返流外,余均未见返流。空肠间位移植术由于食物通过该段肠道与十二指肠,刺激胆汁和胰腺分泌增加,使营养物质被广泛吸收,因而比各种Roux-Y术式更为合理。作者认为,间位空肠的长度以45cm左右最为理想。
A preliminary effect was obtained for the prevention of reflux reflux esophagitis or alkaline reflux gastritis in 30 cases of cardiac cancer after removal of cardiac cancer. In 30 cases, except 1 case of intra-abdominal hemorrhage recovered after reoperation, no other complications occurred. Sixteen of the patients were given liniment and gastroscopy after 14 months. Except for 1 case of mild regurgitation in the 20-cm long interstitial jejunum, no regurgitation was seen in any of the patients. Jejunal metastasis is more reasonable than various Roux-Y procedures because food passes through the intestinal tract and duodenum and stimulates the increase of bile and pancreatic secretion, making nutrients widely available. The author believes that the length of the jejunum is ideally around 45 cm.