The application of ileocecum interposition in alimentary reconstruction
10.3760/cma.j.issn.1671-0274.2001.01.008
- VernacularTitle:回盲肠间置代胃术在胃肠道重建术中的应用
- Author:
Hongwei WANG
1
Author Information
1. People's Hospital of Qingyang Distric
- From:
Chinese Journal of Gastrointestinal Surgery
2001;4(1):25-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical application of ileocecum interposition graft as gastric replacement in alimentary reconstuction. Methods Various methods including video-assisted gastroscopy, esophageal manometry, 24 h pH esophageal monitoring, total bile acids (TBA) in gastric fluid, barium meal examination of upper alimentary tract, quality of life (QOL) were used in stomach function monitoring on 8 cases after such reconstruction. Meanwhile, comparisons were performed with 15 cases after reconstruction of stomach with jejunum (RSJ) or 15 normal people. Results The ileocecal valve could replace the cardia and was possessed of good anti-gastroesephageal reflux capability. The ileocecum and ascending colon had sufficient capacity and was a good container. The retained pyloras proved efficient in anti-duodenogastric reflux and in lengthening gastric emptying time. Quality of life after operatin was satisfactory. Conclusion This surgical procedure is an ideal method of alimentary reconstruction which is close to physiological status.
