Jejunum insert mend skill contribute to prevent backflow gastritis. 's prevention and health care

Jejunum insert mend skill, contribute to, prevent backflow gastritis. 's prevention and health care

( Hepato-Gastroenterology 2002; 49(47) : 1461-1464)

According to Japanese scholar, carry stomach, excise postoperative competent jejunum, insert, mend skill, can prevent backflow gastritis effective than Luo - I gastrectomy Bi far October 18, but it is unable to prevent from pouring out syndrome and stomach to empty and accelerate.

Dr. Nakane Y of Osaka Kansai medical university of Japan points out, once reports claimed to carry the stomach and excise jejunum of postoperative row and insert and mend the skill to prevent 12 to mean backflow of stomach and stomach were emptied and accelerated far. But up until now, have not studied and appraised the clinical result that carries on these two kinds of operations with a doctor yet.

Researchers have investigated and lain in 30 tumours 1/3 of the early gastric carcinoma patients in stomach. Among them 15 patients carry gastrectomy and jejunum and insert and mend the skill competently far, another 15 patients finish Luo - I type gastrectomy competently. The operation is carried on with a surgeon.

The ones that adopted 10-12 cm in operation, with inserting and mending the skill to jejunum of wriggling. Except jejunum - jejunum is identical, all is identical to use the automatic stitch device. Appraise the patient's symptom and function in one year after performing the operation.

Found finally, the average operation time to mend the skill was prominent and relatively long that jejunum was inserted. Two groups have not presented serious complication. Postoperative hospital stays are the same. Two groups of postoperative symptom, food intake and weight resume not having a significance difference.

Researchers point out, the bile backflow which mends the skill group or backflow morbidity of gastritis is very low that jejunum is inserted, it is even zero. Jejunum is inserted to mends a skill patient and has not presented backflow esophagitis. 2 patients present esophagitis of B grade in the postoperative Bi Luo - I type. In addition, two groups of patients' stomach is very low in receiving amount.

Nakane Y Dr. think, carry stomach, excise postoperative competent jejunum, insert, mend skill, can prevent backflow gastritis effective than Luo - I gastrectomy Bi far.

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