PDF(Pubmed)
Abstract：
Gastrectomy and esophagectomy are the most performed surgeries in the treatment of both esophageal and gastric cancers. The type of esophagectomy depends on the type of malignancy, site of the tumor, criteria of resection, and field of resection. The three standard approaches to esophagectomy are the transhiatal approach, the left thoracoabdominal approach, and a three-stage procedure. The transhiatal approach involves abdominal and cervical incisions, while the left thoracoabdominal approach is a one-stage procedure that utilizes a single incision exposing the dissection field. The Ivor Lewis and McKeown esophagectomies are two-stage and three-stage surgeries that include laparotomy with right thoracotomy. Malabsorption often emerges as a significant postoperative complication following esophagectomy and gastrectomy surgeries. Malnutrition linked with these cancers has detrimental effects, including heightened rates of postoperative complications, elevated infection risks, delayed wound healing, reduced tolerance to treatment, diminished quality of life, and heightened mortality rates. Our narrative review summarizes and sheds light on solutions to treat malabsorption disorders and malnutrition after gastric bypass surgery. These solutions include methods such as adjustments, supplements, and treatment. Although more research is needed to confirm their effectiveness, these methods indicate potential for lowering the impact on patients\' diets. By considering the beneficial implications of these effects and considering solutions, we aim to improve the management of these adverse effects, ultimately improving the overall health and postoperative outcomes of patients.
摘要：
胃切除术和食管切除术是食管癌和胃癌治疗中执行最多的手术。食管切除术的类型取决于恶性肿瘤的类型，肿瘤的部位，切除标准，和切除领域。食管切除术的三种标准方法是经食管切除术，左侧胸腹入路,和三个阶段的程序。经产入路包括腹部和颈部切口，而左胸腹入路是一个阶段的手术，利用单个切口暴露夹层区域。IvorLewis和McKeown食管切除术是两阶段和三阶段手术，包括开腹手术和右开胸手术。食管切除术和胃切除术后，吸收不良通常是严重的术后并发症。与这些癌症有关的营养不良会产生有害影响，包括术后并发症的发生率升高，感染风险升高，伤口愈合延迟，对治疗的耐受性降低，生活质量下降，死亡率上升。我们的叙事综述总结并阐明了治疗胃旁路手术后吸收不良和营养不良的解决方案。这些解决方案包括调整等方法，补充剂,和治疗。尽管需要更多的研究来证实它们的有效性，这些方法表明有可能降低对患者饮食的影响。通过考虑这些影响的有益影响并考虑解决方案，我们的目标是改善这些不利影响的管理，最终改善患者的整体健康状况和术后结局。
