Therapeutic effect of pyloroplasty on postoperative gastroesophageal reflux in cardia cancer

doi:10.3877/cma.j.issn.1674-6899.2018.02.007

Abstract

Abstract:

Objective

To investigate the clinical effect of pyloroplasty on gastroesophageal reflux after cardia cancer surgery.

Methods

A total of 82 patients with cardia cancer who underwent surgery in our hospital from June 2013 to June 2016 were selected as the study subjects. Forty-seven patients underwent cardia cancer radical operation as the control group. 35 patients underwent cardia cancer radical resection and pyloroplasty, as an experimental group, and compare the two groups of patients.

Results

The recovery time of intestinal peristalsis, gastric tube placement time, gastric drainage, acid reflux and post-sternal burning sensation and reflux esophagitis in experimental group were lower than those in control group(P<0.05).

Conclusion

Pyloroplasty can effectively reduce the incidence of gastroesophageal reflux after cardia cancer, and is worthy of clinical application.

Key words: Carcinoma of gastric cardia, Pyloroplasty, Gastroesophageal reflux

Yongwei Yang, Rui Guo, Ahan Nurlan·. Therapeutic effect of pyloroplasty on postoperative gastroesophageal reflux in cardia cancer[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2018, 05(02): 72-74.

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References 17

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组别	年龄(岁，±s)	性别(例)		民族(例)		术前合并症(例)
组别	年龄(岁，±s)	男	女	汉族	少数民族	有	无
对照组(47例)	61.1±7.51	30	17	18	29	41	6
实验组(35例)	64.2±8.62	22	13	12	23	30	5
χ²/t值	1.667	0.008		0.139		0.04
P值	0.088	0.929		0.709		0.842
组别	体质指数(kg/m²，±s)	病程(月，±s)	手术时间(min，±s)	术中出血量( ml，±s)	胸管放置时间(d，±s)	住院费用(万元，±s)
对照组(47例)	25.7±3.72	3.5±1.81	215.6±48.66	155.6±70.34	4.2±1.96	6.2±1.68
实验组(35例)	26.2±4.11	3.88±2.21	232.8±52.34	162.8±61.45	3.8±1.72	6.5±2.12
χ²/t值	0.545	0.831	1.5164	0.493	0.981	0.691
P值	0.294	0.205	0.134	0.623	0.329	0.492

组别	年龄(岁，±s)	性别(例)		民族(例)		术前合并症(例)
组别	年龄(岁，±s)	男	女	汉族	少数民族	有	无
对照组(47例)	61.1±7.51	30	17	18	29	41	6
实验组(35例)	64.2±8.62	22	13	12	23	30	5
χ²/t值	1.667	0.008		0.139		0.04
P值	0.088	0.929		0.709		0.842
组别	体质指数(kg/m²，±s)	病程(月，±s)	手术时间(min，±s)	术中出血量( ml，±s)	胸管放置时间(d，±s)	住院费用(万元，±s)
对照组(47例)	25.7±3.72	3.5±1.81	215.6±48.66	155.6±70.34	4.2±1.96	6.2±1.68
实验组(35例)	26.2±4.11	3.88±2.21	232.8±52.34	162.8±61.45	3.8±1.72	6.5±2.12
χ²/t值	0.545	0.831	1.5164	0.493	0.981	0.691
P值	0.294	0.205	0.134	0.623	0.329	0.492

组别	例数	肠蠕动恢复时间(d，±s)	胃管置放时间(d，±s)	胃液引流量(ml，±s)	反酸、烧灼感(例)	反流性食管炎[例(%)]
实验组	35	2.6±1.42	2.8±1.63	326.4±178.32	6	2(5.7)
对照组	47	3.4±1.28	3.6±1.75	426.5±210.64	18	12(25.5)
χ²/t值	?	2.631	3.130	2.326	4.337	5.565
P值	?	0.011	0.036	0.023	0.037	0.018

组别	例数	肠蠕动恢复时间(d，±s)	胃管置放时间(d，±s)	胃液引流量(ml，±s)	反酸、烧灼感(例)	反流性食管炎[例(%)]
实验组	35	2.6±1.42	2.8±1.63	326.4±178.32	6	2(5.7)
对照组	47	3.4±1.28	3.6±1.75	426.5±210.64	18	12(25.5)
χ²/t值	?	2.631	3.130	2.326	4.337	5.565
P值	?	0.011	0.036	0.023	0.037	0.018

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