倾倒综合征

食管空肠Roux-en-Y吻合术更为简单，适用于年老、重症或姑息性全胃切除的患者，但部分患者可出现倾倒综合征和反流性食管炎是其缺点。

Esophagus jejunum Roux en Y is a much more simple method suitable for older , severe patients or those with palliative total gastrectomy , but some patients may suffer from dumping syndrome or bile esophageal reflux .

胰高血糖素样多肽-1在早期倾倒综合征病理生理学中的可能作用

A possible role of GLP-1 in the pathophysiology of early dumping syndrome

PR的Roux-en-Y滞留综合征（RSS）发生率为42.7%。倾倒综合征、返流性食管炎分别为16.7%、26.5%。

RSS of Roux-en-Y reconstruction was 42.7 % , reflux oesophagitis and dumping were 26.5 % , 16.7 % respectively .

结果术后未发现明显倾倒综合征、碱性反流性胃炎或食管炎及Roux-en-Y滞留综合征。

Results Notable reflux alkaline gastritis or esophagitis , dumping syndrome and Roux en Y stasis syndrome were not observed after operation .

血管活性肠钛、胰岛素与倾倒综合征关系的初步研究

Release of Vasoactive Intestinal Peptide and Insulin in Dumping Syndrome

无1例出现倾倒综合征和腹泻；

No case got dumping syndrome and diarrhea ;

倾倒综合征的研究进展

Advances in the studies of dumping symptoms

有效防止高压造成的吻合口漏和残端漏及倾倒综合征等。

Anastomotic cut leakage , nub leakage and obliquus syndrome caused by high pressure were prevented effectively .

全组无胸骨后疼痛及食物、消化液返流等症状，无倾倒综合征表现。

There were no posterior sternal pain and food or digestive fluid reflux , no dumping syndrome in these patients .

结果：随访患者的胃排空时间为20±05h，无贫血、倾倒综合征发生；

Result Gastric emptying time was 2 0 ± 0 5 hours . No dumping syndrome or anaemia was found .

经临床观察及定期随访，术后返流性食管炎的发病率为1.3%，胆石症的发病率9.8%，无一例患者出现倾倒综合征。

Clinical observations and follow up sruvey at regular intervals revealed the incidence of postoperative reflux esophagitis was1.3 % and that of cholelithiasis was9.8 % .

经钡餐检查，36例均无倾倒综合征和复发溃疡，72.2%病人胃排空时间正常；

On the studies of barium meal , gastric evacuation time was normal in 72.2 % patients , no dumping syndrom and recurrent ulcer occured in all patients .

作者认为此术式可有效地防止胆汁及十二指肠液的返流，能较好地预防胆汁返流所致的残胃粘膜损害、碱性返流性胃炎及倾倒综合征等术后并发症的发生。

Authors believe that the operation is effective to restrain reflux of bile and duodenal juice , and it can prevent postoperative complications , such as alkaline reflux gastritis , dumping syndrome , etc.