Gebhardt C, Hoffmann E, Moschinski D
Langenbecks Arch Chir. 1975 Nov 17;340(2):117-25. doi: 10.1007/BF01259419.
The results of 133 gastric resections for penetrating duodenal ulcer are reported. Because of the postoperative complications (acute hemorrhagic pancreatitis, duodenal stump insufficiency, icterus and intraluminal postoperative bleeding) in future only the atypical closure of the duodenal stump according to the method of Nissen-Bsteh should be carried out. A bleeding ulcer should be operated within 48 hrs. If the bleeding needs more than 2500 ml blood substitute, this means a indication for a immediate operation.
报告了133例因穿透性十二指肠溃疡而行胃切除术的结果。鉴于术后并发症（急性出血性胰腺炎、十二指肠残端闭锁不全、黄疸和术后腔内出血），今后仅应按照尼森-布斯泰方法进行十二指肠残端的非典型闭合。出血性溃疡应在48小时内进行手术。如果出血需要超过2500毫升血液替代品，这意味着需要立即手术。
