Bahnini J M, Roseau E, Hollender L F
Clinique Pasteur, Ris Orangis.
Chirurgie. 1992;118(4):197-200; discussion 200-1.
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.
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。