【摘要】 目的 探讨胃大部切除术-胃回肠错吻的诊治方法。方法 对胃大部切除术-胃回肠错吻的临床资料结合文献作回顾性分析。结果 该例患者经胃肠钡剂检查，被确诊为胃大部切除术-胃回肠错吻。该病人经再手术纠正胃回肠错吻而被治愈。结论 BⅡ式胃大部切除术后出现顽固性腹泻，并有大量未消化食物时，应考虑胃回肠错吻。消化道的钡剂造影常能确诊。再手术重建消化道能治愈该病，但围手术期应进行营养支持并纠正机体内环境的失调。

    关键词 胃切除术 胃回肠吻合术 并发症

    The diagnosis and treatment of erroneous gastroileostomy following BillrothⅡgastrectomy Li Guanhua.

    Department of General Surgery，Beihai People’s hospital，Guangxi Beihai536000.

    【Abstract】 Objective To investigate the methods of diagnosis and treatment of erroneous gastroileostomy which taken place at BillrothⅡgastrectomy.Methods Analysis of a patient’s clinical data was made with literature review.Reˉsults A male，34years old patient who suffered from erroneous gastro-ileal anastomosis for three month was diagnosed by gastrointestinal barium examination.The man was healed by re-operation，correcting the erroneous gastroileostomy.Conclusion R

    efractory diarrhea with a lot of undigested food after BillrothⅡgastrectomy must consider the diagnosis of erroneous gastroileostomy.Identified diagnosis often can be made by gastrointestinal barium examination.Erroneous gasˉtroileostomy can be healed by alimentary reconstruction ......