胃造瘘术在胸骨后径路食管重建术后营养中的应用

摘要

目的：食管术后患者的营养尤为重要，本文探讨了胸骨后径路胃造瘘进行术后营养的可行性。方法：回顾性分析了第二军医大学附属上海长征医院胸外科2011年1月至2013年12月间127例食管癌患者，所有患者均行胸骨后胃造瘘，并分析其术后并发症。结果：无一例患者出现术后肠梗阻，无一例因造瘘管出现皮下感染，无一例出现造瘘管脱落。结论：对于胸骨后径路食管重建患者而言，术中进行胃造瘘解决术后营养问题切实有效。%Objective:Esophageal cancer has high morbidity in China, and surgery is the main treatment for this disease. Postop-erative nutrition is also important for the patients. In this article, we discuss the possibility of retrosternal route gastrostomy feeding (RGF). Methods: The data of 127 esophageal cancer patients between 2011 and 2013 were retrospectively analyzed. RGF was per-formed in all the patients, and post-operation complications were studied. Results: Bowel obstruction, catheter displacement, and wound infection did not occur. Conclusion:RGF is a safe and effective nutrition method for patients who underwent retrosternal recon-struction.