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已发表论文
腹腔镜胃切除术联合 Roux-En-Y 吻合术治疗儿童十二指肠溃疡：附 3 年随访的病例报告
Authors Qin Z, Luo M, Zhuang Y, Huang H, Tang Y
Received 7 May 2025
Accepted for publication 22 October 2025
Published 4 November 2025 Volume 2025:18 Pages 1407—1413
DOI https://doi.org/10.2147/IMCRJ.S538916
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Professor Thomas E Hutson
Zhijie Qin, Miao Luo, Yize Zhuang, Huang Huang, Yingming Tang
Department of Pediatric General Surgery, Shanghai Children’s Medical Center GuiZhou Hospital, Shanghai Jiao Tong University School of Medicine, Guiyang, Guizhou, People’s Republic of China
Correspondence: Yingming Tang, Department of Pediatric General Surgery, Shanghai Children’s Medical Center GuiZhou Hospital, Shanghai Jiao Tong University School of Medicine, 166 Jinzhu East Road, Guanshanhu District, Guiyang, Guizhou, 550003, People’s Republic of China, Tel +86-0851- 88955054, Email tangym120@163.com
Background: While upper gastrointestinal ulcers are a common condition in adults, with well-established surgical approaches such as Billroth I, Billroth II, and Roux-en-Y (RY) reconstruction, their occurrence in the pediatric population is markedly less common and presents distinct diagnostic and management challenges. Consequently, surgical intervention for pediatric ulcers remains relatively infrequent and less studied. Although procedures like Billroth I, Billroth II, and RY are technically feasible options, there is a notable lack of robust evidence and specific guidelines to inform optimal surgical management strategies tailored specifically for children.
Case Presentation: We report the treatment of a 13-year-old female patient with a duodenal bulbar ulcer leading to scar stenosis, who was managed with a laparoscopic subtotal gastrectomy and gastro-jejunal Roux-en-Y anastomosis. The patient demonstrated excellent growth and development over a three-year follow-up period, with no significant early or long-term complications.
Conclusion: Although severe complications of peptic ulcer disease (PUD) are uncommon in the pediatric population, gastric resection combined with Roux-en-Y anastomosis represents a safe and efficacious surgical strategy for refractory cases. In this report, we compare the Roux-en-Y procedure with other reconstructive methods, such as Billroth I and II, and discuss the indications and outcomes of various surgical therapies for upper gastrointestinal ulcers in children. We advocate for Roux-en-Y anastomosis as the preferred surgical method for treating complicated upper gastrointestinal ulcers in children, primarily due to its superior long-term outcomes in preventing bile reflux and residual gastritis.
Keywords: upper gastrointestinal ulcer, pediatric patients, gastrectomy, Roux-en-Y anastomosis
Department of Pediatric General Surgery, Shanghai Children’s Medical Center GuiZhou Hospital, Shanghai Jiao Tong University School of Medicine, Guiyang, Guizhou, People’s Republic of China
Correspondence: Yingming Tang, Department of Pediatric General Surgery, Shanghai Children’s Medical Center GuiZhou Hospital, Shanghai Jiao Tong University School of Medicine, 166 Jinzhu East Road, Guanshanhu District, Guiyang, Guizhou, 550003, People’s Republic of China, Tel +86-0851- 88955054, Email tangym120@163.com
Background: While upper gastrointestinal ulcers are a common condition in adults, with well-established surgical approaches such as Billroth I, Billroth II, and Roux-en-Y (RY) reconstruction, their occurrence in the pediatric population is markedly less common and presents distinct diagnostic and management challenges. Consequently, surgical intervention for pediatric ulcers remains relatively infrequent and less studied. Although procedures like Billroth I, Billroth II, and RY are technically feasible options, there is a notable lack of robust evidence and specific guidelines to inform optimal surgical management strategies tailored specifically for children.
Case Presentation: We report the treatment of a 13-year-old female patient with a duodenal bulbar ulcer leading to scar stenosis, who was managed with a laparoscopic subtotal gastrectomy and gastro-jejunal Roux-en-Y anastomosis. The patient demonstrated excellent growth and development over a three-year follow-up period, with no significant early or long-term complications.
Conclusion: Although severe complications of peptic ulcer disease (PUD) are uncommon in the pediatric population, gastric resection combined with Roux-en-Y anastomosis represents a safe and efficacious surgical strategy for refractory cases. In this report, we compare the Roux-en-Y procedure with other reconstructive methods, such as Billroth I and II, and discuss the indications and outcomes of various surgical therapies for upper gastrointestinal ulcers in children. We advocate for Roux-en-Y anastomosis as the preferred surgical method for treating complicated upper gastrointestinal ulcers in children, primarily due to its superior long-term outcomes in preventing bile reflux and residual gastritis.
Keywords: upper gastrointestinal ulcer, pediatric patients, gastrectomy, Roux-en-Y anastomosis