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三合一抗逆流微創手術 根絕頑固胃食道逆流

Posted On By 玉 女

【電傳媒記者 玉女 台中報導】

沒喝咖啡、沒吃甜食也胃食道逆流?台中市一對50多歲的林姓姊妹雙雙罹患胃食道逆流一段時間了,由於藥物治療效果不佳,每天只要飲食就會發作,晚上睡覺時也常因酸液逆流造成咳嗽、背痛等症狀,幾無睡眠品質可言,更因反覆發生的胃酸逆流導致嚴重胸痛,幾乎每個月都要跑急診。後來求診消化外科,才發現兩人胃食道逆流皆合併食道裂孔疝氣,胃和食道之間的賁門防逆流機制已經鬆弛失效,需靠手術重建。姊妹倆經評估接受三合一抗逆流微創手術後,當晚就不再被胃酸嗆醒,隔天就可以進食,出院後喝咖啡吃甜食也沒事。

衛生福利部臺中醫院消化外科主任蔡金宏表示,胃食道逆流起因於賁門的鬆弛,無法防止胃酸從胃部逆流到食道,經常伴隨著橫膈的食道裂孔疝氣。面對胃食道逆流患者,臨床上多利用氫離子阻斷劑降低胃酸的分泌,這通常對八成以上的患者有效;若是對於藥物治療無效的患者,則需接受24小時食道酸鹼測試,以診斷是否為胃酸逆流所引發的症狀。

蔡金宏主任指出,門診上常見許多頑固性胃食道逆流的患者,即使服用減酸藥劑,火燒心的症狀還是起起伏伏,嚴重影響生活品質。臺中醫院為了對抗胃食道逆流,特別發展三合一微創手術根治病症,透過「腹腔鏡橫膈裂孔疝氣修補手術」、「腹腔鏡胃摺疊手術」及「高選擇性迷走神經截斷手術」,重建賁門防胃酸逆流功能,並消除神經性胃酸分泌,消除潰瘍的復發主因,讓病人擺脫酸液逆流的症狀,且不必再服用氫離子阻斷劑來控制胃酸分泌,讓胃食道逆流可以被完全治癒。

抗逆流微創手術適合三類病人:1. 藥物治療無效的胃食道逆流(頑固性或復發性);2. 食道裂孔疝氣大於或等於3公分者;3. 不想長期依賴藥物或使用藥物有副作用的病人。蔡金宏主任說,若胃食道逆流不加以控制,長期傷害消化道,可能會提高消化系統罹癌風險,呼籲藥物控制不佳的民眾可到醫療院所諮詢手術協助。

林姓姊妹倆接受三合一抗逆流微創手術後,現在喝咖啡吃甜食也不再有火燒心症狀
透過三合一抗逆流手術,重建賁門防胃酸逆流功能,並消除神經性胃酸分泌,消除潰瘍的
蔡金宏主任說明胃食道逆流合併食道裂孔疝氣
蔡金宏主任關心病人術後三個月的近況
玉 女
jaz.tnn@gmail.com

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