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中华胃食管反流病电子杂志 ›› 2019, Vol. 06 ›› Issue (01) : 3 -9. doi: 10.3877/cma.j.issn.2095-8765.2019.01.003

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胃食管反流病外科诊疗共识(2019版)
中国医师协会外科医师分会胃食管反流病专业委员会   
  • 收稿日期:2019-01-15 出版日期:2019-02-15

Consensus on Surgical diagnosis and treatment of gastroesophageal reflux disease

Chinese Committee of Gasstroesphageal Reflux Disease   

  • Received:2019-01-15 Published:2019-02-15
引用本文:

中国医师协会外科医师分会胃食管反流病专业委员会. 胃食管反流病外科诊疗共识(2019版)[J]. 中华胃食管反流病电子杂志, 2019, 06(01): 3-9.

Chinese Committee of Gasstroesphageal Reflux Disease. Consensus on Surgical diagnosis and treatment of gastroesophageal reflux disease[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2019, 06(01): 3-9.

图1 容积测定。图A示胃腔及局部腹腔内脂肪经食管裂孔向上疝入纵隔后方;图B示测量疝囊口直径约60.3 mm;图C示测量侧位疝囊最大径和最小径;图D示测量正位疝囊最大径和最小径。通过计算得出:疝囊大小约134 mm×186 mm,疝囊容积约1476.4 cm3
图2 不同胃底折叠术联合Sleeve术。图A为Sleeve +360°折叠;图B为Sleeve +270°折叠;图C为Sleeve +180°折叠
图3 根据食管测压和24 h食管pH监测选择抗反流术式的参考流程
图4 目前常用的3种不同抗反流术式。图A为360°折叠;图B为270°折叠;图C为180°折叠
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