CAJ | 학술논문

全胃切除术后无胃综合征一直是医学界需要解决的难题,针对消化道重建术后导致复杂的病理生理方面的改变,经长期不断探索,虽已有80余种消化道重建术式问世,但在术式的选择方面,始终存在着不同的观点.全胃切除术后重建贮袋及恢复十二指肠通道是否有益于改善患者术后营养状态,是否有益于减轻消化道功能紊乱的症状,并最终改善其生活质量始终是探讨的焦点.本文综述国内外有关消化道重建术式研究进展并加以评价,以获取最佳消化道重建术式.
전위절제술후무위종합정일직시의학계수요해결적난제,침대소화도중건술후도치복잡적병리생리방면적개변,경장기불단탐색,수이유80여충소화도중건술식문세,단재술식적선택방면,시종존재착불동적관점.전위절제술후중건저대급회복십이지장통도시부유익우개선환자술후영양상태,시부유익우감경소화도공능문란적증상,병최종개선기생활질량시종시탐토적초점.본문종술국내외유관소화도중건술식연구진전병가이평개,이획취최가소화도중건술식.
To resolve the agastric syndrome after total gastrectomy, researchers have performed varoius alimentary tract reconstruction procedures for patients. Meanwhile, because of controversial standpoints fol-lowing the total gastrectomy, more than eighty methods were published in the world. The highlight is focused on the discussion of whether a reservoir with the duodenal passage of foodstuff significantly beneficial to the patient's clinical and nutritional status after total gastrectomy. In this article, we reviewed and evaluated the progress of digestive tract reconstruction procedures after total gastrectomy in order to obtain a optimal opera-tion approach.