Marked improvement of severe reflux esophagitis following proximal gastrectomy with esophagogastrostomy by the right gastroepiploic vessels-preserving antrectomy and Roux-en-Y biliary diversion
Marked improvement of severe reflux esophagitis following proximal gastrectomy with esophagogastrostomy by the right gastroepiploic vessels-preserving antrectomy and Roux-en-Y biliary diversion
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近端胃切除术、保留右胃网膜血管的食管胃造口术和 Roux-en-Y 胆道改道术后严重反流性食管炎的明显改善
DOI：
10.1007/s10120-022-01316-7
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发表时间：
2022
期刊：
影响因子：
7.4
通讯作者：
Shinohara Hisashi
中科院分区：
文献类型：
--
作者：
Hojo Yudai;Nakamura Tatsuro;Kumamoto Tsutomu;Kurahashi Yasunori;Ishida Yoshinori;Kitayama Yoshitaka;Tomita Toshihiko;Shinohara Hisashi
食管或胃切除术后的十二指肠胃食管反流（DGER）可引起严重的食管炎，影响患者的生活质量并增加食管癌发生的风险。它有时对药物治疗有抵抗力，在这种情况下，手术治疗被认为是有效的。然而，对于近端胃切除术（PG）食管胃吻合术（EG）后的药物治疗抵抗性反流性食管炎（RE）的最佳手术程序尚未确定。我们对一名70岁的男性患者进行了保留胃网膜血管的胃窦切除术和Roux-en-Y胆管分流术，该患者在PG和EG治疗食管胃连接部癌后因DGER引起的药物治疗抵抗性严重食管炎。术后病程顺利，术后第19天进行的食管胃内窥镜检查显示食管糜烂明显改善。患者报告症状缓解。保留右胃网膜血管的胃窦切除术和Roux-en-Y胆道分流术被认为是安全可行的，用于PG和EG后的药物治疗抵抗性RE。
Duodenogastroesophageal reflux (DGER) following esophagectomy or gastrectomy can cause severe esophagitis, which impairs patients’ quality of life and increases the risk of esophageal carcinogenesis. It is sometimes resistant to medical treatment, and surgical treatment is considered effective in such cases. However, an optimal operative procedure for medical treatment-resistant reflux esophagitis (RE) after proximal gastrectomy (PG) with esophagogastrostomy (EG) has not yet been established. We performed the right gastroepiploic vessels-preserving antrectomy and Roux-en-Y biliary diversion in a 70-year-old man with medical treatment-resistant severe esophagitis caused by DGER following PG with EG for esophagogastric junction cancer. The postoperative course was uneventful, and esophagogastroduodenoscopy performed on the 19th postoperative day showed marked improvement in the esophageal erosions. The patient reported symptomatic relief. The right gastroepiploic vessels-preserving antrectomy and Roux-en-Y biliary diversion were considered safe and feasible for medical treatment-resistant RE following PG with EG.
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影响因子：
2.3
作者：
Hosogi, Hisahiro;Sakaguchi, Masazumi;Kanaya, Seiichiro
通讯作者：
Kanaya, Seiichiro
影响因子：
3.5
作者：
Yadlapati R;Kahrilas PJ;Fox MR;Bredenoord AJ;Prakash Gyawali C;Roman S;Babaei A;Mittal RK;Rommel N;Savarino E;Sifrim D;Smout A;Vaezi MF;Zerbib F;Akiyama J;Bhatia S;Bor S;Carlson DA;Chen JW;Cisternas D;Cock C;Coss-Adame E;de Bortoli N;Defilippi C;Fass R;Ghoshal UC;Gonlachanvit S;Hani A;Hebbard GS;Wook Jung K;Katz P;Katzka DA;Khan A;Kohn GP;Lazarescu A;Lengliner J;Mittal SK;Omari T;Park MI;Penagini R;Pohl D;Richter JE;Serra J;Sweis R;Tack J;Tatum RP;Tutuian R;Vela MF;Wong RK;Wu JC;Xiao Y;Pandolfino JE
通讯作者：
Pandolfino JE
影响因子：
2.3
作者：
Sugita, Hirofumi;Sakuramoto, Shinichi;Koyama, Isamu
通讯作者：
Koyama, Isamu
反流性食管炎的内镜分型[J].
DOI：
--
发表时间：
2000
期刊：
Nihon rinsho. Japanese journal of clinical medicine
影响因子：
--
作者：
Y. Hoshihara;M. Hashimoto
通讯作者：
M. Hashimoto
Roux-en-Y 改道治疗食管切除术后顽固性反流。
DOI：
10.1016/j.athoracsur.2008.06.054
发表时间：
2008
期刊：
The Annals of thoracic surgery
影响因子：
--
作者：
X. D'Journo;Jocelyne Martin;L. Gaboury;P. Ferraro;A. Duranceau
通讯作者：
A. Duranceau