CAJ | 학술논문

目的：探讨贲门癌行全胃切除术后肠套叠的诊断、治疗以及预防措施。方法回顾分析7例贲门癌行全胃切除术后发生肠套叠的诊治经过。结果7例患者经及时诊断及二次手术手法复位或肠切除术，康复顺利。结论贲门癌行全胃切除术后一旦明确诊断为肠套叠要及时手术探查，手法复位或肠切除术治疗有效。预防措施主要有行肠-肠吻合时勿使肠管悬吊成角，营养管过吻合口不宜过长，营养液输注需加温并控制滴速等。
목적：탐토분문암행전위절제술후장투첩적진단、치료이급예방조시。방법회고분석7례분문암행전위절제술후발생장투첩적진치경과。결과7례환자경급시진단급이차수술수법복위혹장절제술，강복순리。결론분문암행전위절제술후일단명학진단위장투첩요급시수술탐사，수법복위혹장절제술치료유효。예방조시주요유행장-장문합시물사장관현조성각，영양관과문합구불의과장，영양액수주수가온병공제적속등。
Objective To study the diagnosis, treatment and preventive measures of intussusception after total gastrectomy for cardiac cancer. Methods We make a retrospective analysis of 7 cases of intussusception after total gastrectomy for cardiac cancer. Results 7 patients were diagnosed timely and all of them were cured after manual reduction or resection of intestine in the second operation. Conclusions Once diagnosed as intus-susception after total gastrectomy,we should take second operation timely using manual reduction or intestine re-section. Preventive measures include intestinal anastomosis that does not make suspended intestine angulation, nutrition tube should not be too long through the anastomosis, nutrition liquid must be heated and drop slowly.