关键词 胃切除;胃食管反流病；非手术治疗

    摘要 目的 探讨诊治胃大部切除术后胃食管反流性疾病的方法。方法 对25例胃大部切除术后胃食管反流病患者诊治情况回顾与分析。结果 24例患者治疗后临床症状基本消失。1例药物治疗效果不满意且拒绝手术。结论 递减法药物治疗疗效满意值得提倡，手术治疗疗效肯定，但应严格控制适应证。

    STUDY OF 25 CASES WITH GASTROESOPHAGEAL REFLUX DISEASE AFTER SUBTOTAL GASTRECTOMY

    Xing Hong.

    Department of Surgery, Fengtai District Health Hospital for Women & Children, Beijing 100077,China

    Key words gastrectomy; gastroesophageal reflux disease; nonoperative management

    Abstract Objective To study the diagnosis and treatment of gastroesophageal reflux disease (GERD) after subtotal gastrectomy. Methods We had retrospectively analyzed the diagnosis and treatment of 25 cases with GERD. Results After proper treatment, most symptoms of 24 GERD patients disappeared, except for 1 GERD patient, who was not satisfied with the drug treatment result and refused to perform operation. Conclusion The result of gradual-decreasing drug treatment is satisfactory and should be recommended. However, although the efficacy of surgical operation is confirmed, indications should be strictly controlled. ......