Todurov I M, Dibrova Iu A
Klin Khir. 2008 Oct(10):10-4.
The literature data and the results of own investigations on gastric recurrent ulcers occurrence after organpreserving operations performance for the ulcer disease are summarized. The data on gastric recurrent ulcers occurrence rate are adduced. Modern views on possible causes of occurrence, necessary volume and informativity of investigation methods and tactics of treatment are presented. Gastroduodenal motor-evacuation function disorders, duodenogastric reflux and gastric hypersecretion are suggested as a most frequent causes of gastric recurrent ulcers occurrence. The method of operative intervention choice for recurrent gastric ulcer is determined by the cause of its occurrence, as well as the character of ulcer complication and the kind of previous surgical procedure performed.
总结了有关溃疡病保器官手术后胃复发性溃疡发生情况的文献资料和自身研究结果。列举了胃复发性溃疡发生率的数据。阐述了对其可能病因、检查方法的必要范围和信息量以及治疗策略的现代观点。胃十二指肠运动排空功能障碍、十二指肠胃反流和胃酸分泌过多被认为是胃复发性溃疡发生的最常见原因。复发性胃溃疡手术干预方法的选择取决于其发生原因、溃疡并发症的特点以及先前实施的手术方式。