Podoluzhnyĭ V I, Fil'kov A P
Vestn Khir Im I I Grek. 1992 Jun;148(6):284-8.
Forty-two patients with postgastroresection peptic ulcers of the zone of gastrojejunal anastomoses were examined. The cause of the appearance of the ulcers was the action of aggressive content of the gastric stump on the jejunum in the area of anastomosis. "Vagal" peptic ulcers were found by the gastrocepin test. After operations reducing the stump acidity healing of all the ulcers was noted. In achlorhydria of the stump the digestion in it is realized due to reflux at the expense of pancreas proteinases.
对42例胃空肠吻合口区胃切除术后消化性溃疡患者进行了检查。溃疡出现的原因是胃残端的侵蚀性内容物对吻合口区空肠的作用。通过胃泌素试验发现了“迷走神经”性消化性溃疡。在进行降低残端酸度的手术后，所有溃疡均愈合。在残端无胃酸的情况下，其消化是通过胰腺蛋白酶反流实现的。
