Khalimov E V, Sigal Z M, Kapustin B B
Izhevsk State Medical Academy.
Eksp Klin Gastroenterol. 2003(2):64-7, 119.
We examined acid-producing stomach functions, local hemodynamics and motility of the stomach and duodenum in performing organ preservation surgery: combined gastric vagotomy, selective proximal vagotomy and extended selective proximal vagotomy. Changes of hemodynamics and motility in the early postoperative period are related to the technical peculiarities of performing various types of vagotomy. Restoration of the functional state of the stomach and duodenum takes place in the late postoperative period. The acid-producing function in the late postoperative period is reduced to the safe level concerning ulceration, irrespective of the vagotomy type.
我们在进行器官保留手术(包括联合胃迷走神经切断术、选择性近端迷走神经切断术和扩大选择性近端迷走神经切断术)时,研究了胃的产酸功能、局部血流动力学以及胃和十二指肠的运动功能。术后早期血流动力学和运动功能的变化与实施各种类型迷走神经切断术的技术特点有关。胃和十二指肠功能状态的恢复发生在术后晚期。无论迷走神经切断术的类型如何,术后晚期的产酸功能均降至与溃疡形成相关的安全水平。