Nekrasov L P, Babinov B N
Khirurgiia (Mosk). 1991 Mar(3):83-5.
Resection of the stomach is still the principal method for surgical management of gastric and duodenal ulcer. The functional condition of the anastomosis depends on the method used. The authors conducted comparative endoscopic evaluation of anastomoses formed after Hofmeister-Finsterer, Billroth I, Andreo and Vitebsky according to the following criteria: shape and diameter; contractile and obturator function; gastrointestinal reflux; morphological changes in the zone of the anastomosis and the gastric stump. The authors analyse their own material concerning fibrogastroscopy in 168 patients after gastric resection, the anastomosis was established after Hofmeister-Finsterer in 93 of them after Vitebsky in 46, after Billroth I in 21, and after Andreo in 8. Vitebsky's modification of Billroth II anastomosis and Andreo's modification of Billroth I anastomosis possess the best functional capacities. Billroth I and Billroth II gastroenterostomy in Hofmeister-Finsterer's modification do not possess contractile and obturator property, which promotes reflux of bile into the gastric stump and the development of reflux gastritis and other complicating factors.
胃切除术仍然是胃和十二指肠溃疡外科治疗的主要方法。吻合口的功能状况取决于所采用的方法。作者根据以下标准对霍夫迈斯特 - 芬斯特勒、毕罗Ⅰ式、安德烈奥和维捷布斯基术后形成的吻合口进行了内镜比较评估：形状和直径；收缩和闭合功能；胃肠反流；吻合口区和胃残端的形态变化。作者分析了他们自己关于168例胃切除术后患者纤维胃镜检查的资料，其中93例采用霍夫迈斯特 - 芬斯特勒法建立吻合口，46例采用维捷布斯基法，21例采用毕罗Ⅰ式，8例采用安德烈奥法。维捷布斯基对毕罗Ⅱ式吻合术的改良和安德烈奥对毕罗Ⅰ式吻合术的改良具有最佳的功能。霍夫迈斯特 - 芬斯特勒改良的毕罗Ⅰ式和毕罗Ⅱ式胃肠吻合术不具备收缩和闭合特性，这会促进胆汁反流至胃残端，进而引发反流性胃炎和其他并发症。
