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- W2389433110 abstract "Objective:To investigate the reasonable approach of treatment and prophylaxis of the acute right thoracogastric dilation after esophagectomy via neck,right thorax and abdomen.Methods:The bidirectional tubes put introduced in the jejunum to treat a patient who had acute dilatation of stomach following the operation with trisincision,this approach was also used in the other 15 patients with esophageal carcinoma who under went the operation with trisincision.In operation,two orifics were made in the jejunum 18～25cm apart to Treitz lig.After the stomach had been freed,a stomach tube was positioned in the gastric atrium via duodenum and pylorus from proximal orifice,then a nutritional tube was put in the jejunum from distal orific.After operation,continuous negative pressure drainage from stomach tube was applied.After 48h,the saline,nutrient solution and gastric juice were infused via the nutritional tube,parenteral nutuition was not need.From the fifth postoperative day the intravenous transfusion was discontinued.Patients can eat by mouth and the stomach tube damped was at 14 days.If no anastomotic fistula thoracogastric,dilation occurred,patient could canceletely depended his nutrition from eating semi-solid diet by mouty,and the two tubes were withdrawn 2 days later.Results:By the approach,the symtoms and signs of acute dilatation of stomach were all disappeared immediately after the second operation,and the patient was discharged after 3 weeks.None of the other 15 patients had acute dilatation of stomach and anastomstic fistula.Conclusions:This approach was a valuable method for treatment and prophylaxis of and acute thoracogastric dilation after esophagectony" @default.
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- W2389433110 date "2003-01-01" @default.
- W2389433110 modified "2023-09-24" @default.
- W2389433110 title "Treatment and prophylaxis of the acute thoracogastric dilation following esophagectomy" @default.
- W2389433110 hasPublicationYear "2003" @default.
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