Werner B, Balzer M, Tenge M, Oertel W, Wehling H, Rehner M, Soehendra N
Dtsch Med Wochenschr. 1976 Jan 30;101(5):162-6. doi: 10.1055/s-0028-1104053.
Endoscopic and radiological studies were undertaken in 97 patients who had had a partial gastric resection with gastro-duodenostomy (Billroth I) one to seven years previously. Acid secretion was also analyzed after injection of pentagastrin. The most frequent mucosal changes seen at endoscopy were erosion in the residual stomach, with inflammatory granulation in the region of the anastomosis. Recurrent ulcers were seen in 3%. Acid secretion was reduced by 87% from its pre-operative level. The amount of residual secretion depended on the length of the greater curvature in the residual stomach. Radiological studies revealed functional changes indicating that there is a motility pattern in the residual stomach and a pseudopyloric function at the anastomosis which makes co-ordinated emptying possible.
对97例1至7年前接受过胃部分切除并胃十二指肠吻合术（毕罗一式）的患者进行了内镜和放射学研究。注射五肽胃泌素后还分析了胃酸分泌情况。内镜检查中最常见的黏膜变化是残胃糜烂，吻合口区有炎性肉芽组织。复发性溃疡的发生率为3%。胃酸分泌量较术前水平降低了87%。残余分泌量取决于残胃大弯的长度。放射学研究显示了功能变化，表明残胃存在一种运动模式，吻合口处有假幽门功能，这使得协调排空成为可能。
