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随着食管外科的进展,手术范围的扩大,手术方法的改进,食管癌术后胃排空障碍越来越受到人们的关注。食管癌术后胃排空障碍是一种非机械性的幽门梗阻性胃排空障碍,是继发于高位食管癌术后颈部吻合的一组功能性障碍的并发症,现就其病因及诊断治疗加以讨论,并附3例报告。 1 病例介绍 例1,男,68岁,1994年9月由食管胸上段癌经左颈、右胸、腹正中切口行食管大部切除,食管胃左颈吻合术,术后第3天停胃肠减压,第6天进流食,第8天出现胃应激性溃疡穿孔再次胃肠减压,保守
With the advancement of esophageal surgery, the expansion of surgical range, and the improvement of surgical methods, gastric emptying dysfunction after esophageal cancer has received more and more attention. Gastric emptying dysfunction after esophageal cancer surgery is a non-mechanical obstructive gastric emptying obstruction. It is a complication of a group of functional disorders secondary to cervical anastomosis after high-vessel cancer surgery. Now its causes and The diagnosis and treatment were discussed and 3 cases were reported. 1 Case introduction 1. Male, 68 years old, Sept. 1994: Esophageal thoracic upper thoracic cancer was treated with a major esophagectomy through the left neck, right chest, and midline abdominal incision, an esophagogastric left-and-neck anastomosis, and the stomach was stopped on the third postoperative day. Intestinal decompression, ingestion of food on the 6th day, gastric stress ulcer perforation on the 8th day, gastrointestinal decompression, conservative