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中华胃食管反流病电子杂志 ›› 2025, Vol. 12 ›› Issue (01) : 1 -9. doi: 10.3877/cma.j.issn.2095-8765.2025.01.001

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成人胃食管反流病外科诊疗共识(2025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:2025-01-10 出版日期:2025-02-15

Consensus on diagnosis and surgical treatment of adult gastroesophageal reflux disease (2025 edition)

Gastroesophagea Reflux Disease Professional Committee of the Chinese College of Surgeons   

  • Received:2025-01-10 Published:2025-02-15
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. 成人胃食管反流病外科诊疗共识(2025版)[J/OL]. 中华胃食管反流病电子杂志, 2025, 12(01): 1-9.

Gastroesophagea Reflux Disease Professional Committee of the Chinese College of Surgeons. Consensus on diagnosis and surgical treatment of adult gastroesophageal reflux disease (2025 edition)[J/OL]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2025, 12(01): 1-9.

图1 胃食管反流病患者电子计算机断层扫描检查疝囊容积测定。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示测量疝环口直径约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 胃食管反流病患者不同胃底折叠术联合Sleeve术示意图。图a为Sleeve+360°折叠;图b为Sleeve+270°折叠;图c为Sleeve+180°折叠
图3 目前常用胃食管反流病患者胃底折叠手术的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
图4 胃食管反流病患者根据食管测压和24 h食管pH值监测选择抗反流术式的参考流程注:GERD为胃食管反流病,LES为食管下括约肌
图5 食管裂孔左右膈肌脚缝合关闭技巧图示。图a:完全游离后的食管裂孔结构。图b:间断缝合关闭食管裂孔。图c:连续缝合关闭食管裂孔。图d:关闭后错位张力线,以增强关闭张力又能减少膈肌脚撕裂
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