Naylor R G, Juler G L
Arch Surg. 1976 Jun;111(6):658-62. doi: 10.1001/archsurg.1976.01360240038006.
In seven cases of congenital anomalies in adults, duodenal obstruction and peptic ulcer disease developed. There were two cases of congenital duodenal web, two of hypertrophic pyloric stenosis, two of annular pancreas, and one of a preduodenal portal vein. The diagnosis is seldom made preoperatively. In the four patients who had preoperative gastric analysis, the acid secretions were increased. Those patients who underwent endoscopy had changes consistent with hypertrophic secretory gastrophy and duodenitis. We believe that treatment should be directed toward relief of the duodenal obstruction and the reduction of basal acid secretion by truncal vagotomy in all such cases.
在7例成人先天性畸形病例中，出现了十二指肠梗阻和消化性溃疡病。其中有2例先天性十二指肠蹼、2例肥厚性幽门狭窄、2例环状胰腺和1例十二指肠前门静脉。术前很少能做出诊断。在4例进行术前胃液分析的患者中，胃酸分泌增加。接受内镜检查的患者有与肥厚性分泌性胃萎缩和十二指肠炎一致的改变。我们认为，在所有此类病例中，治疗应针对解除十二指肠梗阻，并通过迷走神经干切断术减少基础胃酸分泌。
