Capretti P G, Hüscher C
Divisione di Chirurgia Generale, USSL 37 Breno, Brescia.
Minerva Chir. 1991 Jun 30;46(12):671-7.
The paper reports the results of a follow-up of 25 patients who underwent gastric resection using Roux's technique, 15 patients undergoing reconstructive surgery according to Pean-Billroth and 15 who underwent Billroth II operations. Controls were performed more than 5 years after surgery and included endoscopic tests with biopsy and the evaluation of the biliary salt reflux in the gastric stump. Roux's operation was preferred both as a routine operation following gastric resection and as a reconversion operation due to the absence of biliary reflux, the negative biopsy tests at the level of the stump and anastomosis, and negative clinical aspects.
该论文报告了25例行Roux术式胃切除术患者、15例行Pean - Billroth重建手术患者以及15例行毕Ⅱ式手术患者的随访结果。术后5年以上进行对照,包括内镜活检检查及胃残端胆汁盐反流评估。由于无胆汁反流、残端和吻合口活检结果阴性以及临床情况良好,Roux手术既作为胃切除术后的常规手术,也作为再次手术的首选术式。