Popovici Z
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1976 Sep-Oct;25(5):365-73.
The author presents 71 cases of gastric stenoses following caustic lesions, of which 20 were located in the stomach and 51 also involved the oesophagus (oesophagian stenosis). In cases with limited antrum stenoses the author performed antrectomy and gastro-duodenal anastomosis. In the pre-pylorus stenoses, when these were located at 3--5 cm from the pylorus the author recommends the conservation of the denevated pylorus by double pylorotomy and anastomosis with the entire gastric section. He describes a personal procedure which he calls: The Y--V intravascular segmental antrectomy". In cases with extensive gastric stenoses (over 75% of the area), as well as in evolutive corrosion lesions the author recommends Y-jejunostomy, of the Maydl type.
作者报告了71例腐蚀性病变后胃狭窄的病例，其中20例局限于胃部，51例还累及食管（食管狭窄）。对于胃窦部局限性狭窄的病例，作者施行胃窦切除术和胃十二指肠吻合术。对于幽门前狭窄，当狭窄位于距幽门3 - 5厘米处时，作者建议通过双重幽门切开术保留失神经支配的幽门，并与整个胃段进行吻合。他描述了一种他称之为“Y - V血管内节段性胃窦切除术”的个人手术方法。对于广泛胃狭窄（超过75%的面积）的病例，以及进行性腐蚀性病变，作者建议采用迈尔德尔（Maydl）型Y形空肠吻合术。
