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[球部出血性溃疡。主张胃切除术]

[Hemorrhagic ulcer of the bulb. Plea for gastric resection].

作者信息

Bahnini J M, Roseau E, Hollender L F

机构信息

Clinique Pasteur, Ris Orangis.

出版信息

Chirurgie. 1992;118(4):197-200; discussion 200-1.

PMID:1339729
Abstract

Bleeding remains on of the most fearsome complications of duodenal ulcer disease. It is, as if H2 Blockers, while never curing the ulcer, were in fact promoting its most severe forms, i.e., posterior huge ulcers, the control of which has to be a gastric resection. On the basis of a short but consecutive serie of 10 patients, the authors plead in favor of the exclusion of the ulcer from the digestive tract, using the wheeling off procedure to close the duodenal stump.

摘要

出血仍然是十二指肠溃疡疾病最可怕的并发症之一。似乎H2阻滞剂虽然从未治愈溃疡,但实际上却在促使其发展为最严重的形式,即后壁巨大溃疡,而治疗这种溃疡往往不得不进行胃切除术。基于一组连续的10例患者的简短病例系列,作者主张采用转位法关闭十二指肠残端,将溃疡从消化道中排除。

相似文献

1
[Hemorrhagic ulcer of the bulb. Plea for gastric resection].[球部出血性溃疡。主张胃切除术]
Chirurgie. 1992;118(4):197-200; discussion 200-1.
2
["Wheeling-off" of the duodenum in gastric resection in hemorrhagic duodenal ulcer].
Presse Med. 1989 Dec 2;18(40):1974-6.
3
[Surgical tactics in bleeding duodenal ulcers].[十二指肠溃疡出血的手术策略]
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[Laparoscopic selective vagotomy (posterior truncal vagotomy and anterior linear stomach resection) in complicated duodenal ulcer].[腹腔镜选择性迷走神经切断术(后干迷走神经切断术和前线性胃切除术)治疗复杂性十二指肠溃疡]
Zentralbl Chir. 1995;120(5):373-6.
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Chirurgia (Bucur). 1991;40(1):11-20.
6
[Perforated and hemorrhagic duodenal ulcer: the problems of the surgical procedure and technic].
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1989 Mar-Apr;38(2):121-5.
7
[Exclusion resection, an operation of necessity in resolving complicated postbulbar ulcers].
Chirurgia (Bucur). 1996;45(1):39-40.
8
[Operative treatment of massive hemorrhage from duodenal and gastric ulcers (author's transl)].十二指肠和胃溃疡大出血的手术治疗(作者译)
MMW Munch Med Wochenschr. 1976 Oct 15;118(42):1349-52.
9
[Various special problems of the treatment of acute peptic ulcer- induced gastrointestinal hemorrhage].[急性消化性溃疡所致胃肠道出血治疗的各种特殊问题]
Vestn Khir Im I I Grek. 1989 May;142(5):12-5.
10
[The surgical procedure in ulcerous duodenal hemorrhages].[溃疡型十二指肠出血的外科手术方法]
Khirurgiia (Mosk). 1999(6):20-2.