贵州医科大学学报

1988, (02) 317-320

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胃大部切除术后返流性胃炎24例分析
POST-SUBTOTALE GASTRECTOMY REFLUX GASTRITIS:AN ANALYSIS OF 24 CASES

仉胜根;汤笃礼;胥天禄;
Ni Shenggen,Department of General surgery

摘要(Abstract):

本文报导并分析了胃大部切除术后返流性胃炎24例,并就本病的发病率、临床表现、诊断、防治等问题进行了初步讨论。
This paper reports 24 cases of post-subtotal gastrectomy retlux gastritis in the treatment for peptic ulcers(gastric ulcer 6 cases,duodenal ulcer 18 cases)from 1972 to 1985.There were 20 males and 4 females,with men out- numbering women by five to one.Patient's age ranged from 23 to 63 years. The average age was 39.1 years.The highest incidence was in 31-40 years, All of the 24 cases were operated on by Billroth Ⅱ(Finesteren-Hofmeister 15 cases,Moynihan 9 cases).The incidence of reflux gastritis was 7.8%.The main symptoms of the disease was:1.epigastric pain(19 cases),2.vomiting of bile(18 cases),3.anorexia and weight loss(16.cases).The diagnosis was depended on clinical manifestation,gastroseopy and biopsy.This condi- tion should be differentiated from afferent loop syndrom and recurrent ulcer. Among them,28 cases on medical therapy was successful and 1 case recei- ved Roux-en-y gastrojejunostomy.Clinically,satisfactory results were obtai- ned in patients.

关键词(KeyWords): 胃大部切除术;返流性胃炎
Subtotal gastrectomy;Reflux gastritis

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作者(Author): 仉胜根;汤笃礼;胥天禄;
Ni Shenggen,Department of General surgery

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