内镜下贲门缩窄术治疗胃食管反流病安全性分析

Safety of peroral endoscopic cardial constriction for gastro-esophageal reflux

摘要:

目的探究贲门缩窄术治疗胃食管反流病的临床安全性。方法回顾性分析2013年8月至2016年8月于中国人民解放军总医院消化科进行贲门缩窄术治疗的47例胃食管反流病患者的临床资料。结果所有47例患者成功进行了贲门缩窄术，手术成功率100％。无术后发热、穿孔病例。患者术后7例出现胸骨后疼痛不适、2例出现进食哽噎感、1例出现少量咳血，该10例患者均无需特殊治疗，症状于2 d内自行好转。22例（46.8％）患者手术当天即可进流食、39例（82.9％）患者术后第1天进流食或半流食、43例（91.5％）患者于术后第2天恢复进食流食或半流食。术后仅9例患者预防性使用了抗生素。结论贲门缩窄术治疗胃食管反流病安全有效，且术后恢复快，住院时间短。

Abstract:

ObjectiveTo explore the clinical safety of peroral endoscopic cardial constriction for gastro-esophageal reflux. MethodsClinical data of 47 patients with gastro-esophageal reflux who underwent peroral endoscopic cardial constriction in Chinese PLA General Hospital were retrospectively studied from August 2013 to August 2016. ResultsA total of 47 patients underwent peroral endoscopic cardial constriction successfully with no perforation or fever. Retrosternal vague pain and discomfort occurred in 7 cases， mild dysphagia occurred in 2 cases， and mild hemoptysis occurred in one patient the day after the operation. No special measures were taken and all 10 patients showed symptom remission in less than two days. As for the postoperative treatment，22（46.8％） patients were given a liquid diet on the day of operation, 39（82.9％） patients were given semi-or liquid diet on the first day after the operation， and two days later， 43（91.5％） resumed semi-or liquid diet. Only 9 cases were given antibiotics for prophylaxis for infection. Conclusion Peroral endoscopic cardial constriction is safe and effective for gastro-esophageal reflux. The hospitalizing time is short and postoperative recovery is quick.