Study on esophageal motor function against reflux after esophagogastric anastomosis with mucosal valve.
- Author:
She-xiang QIU
1
;
Yue MAO
;
Hui-hua CAI
;
Yu-pei ZOU
;
Dian-cai YANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Anastomosis, Surgical; methods; Esophageal Neoplasms; therapy; Esophagus; surgery; Female; Gastroesophageal Reflux; prevention & control; Heart Neoplasms; therapy; Humans; Male; Middle Aged; Mucous Membrane; surgery; Stomach; surgery
- From: Chinese Journal of Gastrointestinal Surgery 2005;8(3):196-198
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo find an effective operative procedure against reflux after esophagogastric anastomosis with mucosal valve.
METHODSFour hundred and sixty-four patients with esophageal or cardiac cancer were randomly divided into three groups according to anastomosis modes. Group A underwent esophagogastric anastomosis with mucosal valve (175 cases), group B with mechanical stapler (151 cases) and group C one layer anastomosis with handcraft suture (138 cases). The gastroesophageal reflux index (GERI) was examined by isotope,and 24 h esophageal pH was also monitored. The esophageal motor function was compared among three groups.
RESULTSThe reflux rates were 0, 33.3%, and 6.7% in group A, B, C respectively. The esophageal motor function and the 24 h esophageal pH monitoring indicated that the various indexes were approaching to the normal level in group A, but the various indexes in group B and C were significantly different from the normal values (P< 0.05).
CONCLUSIONThe esophagogastric anastomosis with mucosal valve has better antireflux effect and can prevent the reflux esophagitis after esophageal or cardiac cancer eradication.
