采用持續(xù)灌注式測壓系統(tǒng)研究10例胃癌患者全胃切除后Roux-en-Y食管空腸吻合的Roux腸袢運動功能。結(jié)果顯示：大多數(shù)病例Roux腸袢運動表現(xiàn)異常，消化間期缺乏移行性運動綜合波(MMC)，MMCⅢ相活動呈逆行傳播或為非傳播性壓力活動暴發(fā)群等；餐后4例患者消化間期向消化期運動轉(zhuǎn)換障礙，多數(shù)消化運動減弱。本研究結(jié)果提示：全胃切除Roux-en-Y吻合可誘發(fā)Roux腸袢運動紊亂，可能與患者術(shù)后上腹部不適相關(guān)。
引用本文： 萬進(jìn),王吉甫. 胃癌全胃切除Roux-en-Y食管空腸重建對Roux腸袢運動的影響. 中國普外基礎(chǔ)與臨床雜志, 1998, 5(3): 153-155. doi: 復(fù)制
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- 1. Malagalada JR, Camilleri M, Stanghellini V. Manoetric diagnosis of gastrointestinal motility disorders. New York:Thieme Incorporated, 1986.
- 2. Kerlin P, Phillips S. Variability of motility of the ileum and jujunum in healthy humans. Gastroenterology, 1982; 82∶694.
- 3. Mathias JR. Fernandez A, Sninsky CA, et al.Nausea, vomiting and abdominal pain after RouxenY anastomosis: motility of the jejunal limb. Gastroenterology, 1985; 88∶101.
- 4. Bassotti G, Gulla P, Bettijc C, et al.Manometric evaluation of jejunal limb after total gastrectomy and RouxY anastomosis for gastric cancer. Br J Surg, 1990; 77∶1025.
- 5. Perino LE, Adcock KA, Goff JS. Gastrointestinal symptoms, motility and transit after the RouxenY operation. Am J Gastroenterology, 1988; 83∶380.
- 6. Gustavsson S, Ilstrup DM, Morrison P, et al.RouxY stasis syndrom after gastrectomy. Am J Surg, 1988; 155∶490.
- 7. Karlstrom LH, Kelly KA. Ectopic jejunal pacemakes and gastric emptying after Roux gastrectomy: effect of intestinal pacing. Surgery, 1989; 106∶867.
- 8. Vantrappen G, Coremans G, Janssen S, et al.Inversion of the slow wave frequency gradient in symptomatic patients with RouxenY anastomosis. Gastroenterology, 1988; 94∶A477.