Monclair T
Ann Chir Gynaecol Fenn. 1975;64(2):78-81.
A clinical series of 208 patients who had elective operations for gastroduodenal ulcer in Surgical Department II, Oslo City Hospital, has been reviewed. The study concentrates on postoperative gastric retention, comparing the frequency of this complication following antrectomy and gastroduodenal anastomosis with and without vagotomy. The patients in the nonvagotomy group had no retention problem. In the vagotomy group, 19 patients (35%) of 54 operated had troublesome postoperative retention. 7 patients (13%) had to have a further operation for this complication, all within 1 year. We no longer use the combined operation as a routine procedure for duodenal ulcer.
对奥斯陆市立医院第二外科行胃十二指肠溃疡择期手术的208例患者的临床系列进行了回顾。该研究主要关注术后胃潴留，比较了胃窦切除术和胃十二指肠吻合术（有或无迷走神经切断术）后该并发症的发生频率。非迷走神经切断术组的患者没有潴留问题。在迷走神经切断术组，54例接受手术的患者中有19例（35%）术后出现严重的潴留问题。7例（13%）患者因该并发症不得不再次手术，均在1年内。我们不再将联合手术作为十二指肠溃疡的常规手术方法。
