作者: Attila Csendes , Italo Braghetto , Patricio Burdiles , Owen Korn
DOI: 10.1016/S1052-3359(03)00072-3
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摘要: In summary, vagotomy plus antrectomy and the Roux-en-Y procedure is based on following points: (a) patients who have BE show several foregut abnormalities, including incompetent lower esophageal sphincter, impairment in clearance, severe gastroesophageal acid reflux, frequent duodenoesophageal reflux; (b) late results of classic antireflux are poor with a high recurrence rate owing to progressive loosening wrap; (c) damage produced by injurious component refluxate; (d) among underwent surgery, certain proportion developed dysplasia or even adenocarcinoma follow-up. The authors observed that simple correction valve not enough many cases, because it does abolish reflux but only diminishes it. therefore impaired few episodes can maintain induce more damage. With reduction diversion procedure, quality corrected secondary, main goal avoid components refluxate instead itself, which almost always impossible. Late support this hypothesis, propose surgical as an alternative treatment complicated long-segment BE. Among intestinal metaplasia cardia noncomplicated short-segment BE, laparoscopic surgery authors' first choice, objective evaluation demonstrates technique adequate particular patient has