Tatishvili G G, Beriashvili Z A
Khirurgiia (Mosk). 1990 Dec(12):37-41.
Experiments on dogs demonstrated the role of chronic disorders of duodenal patency (ChDDP) in the development of immediate and late-term postoperative complications of gastric and duodenal ulcer, like incompetence of the duodenal stump, reflux gastritis, progression of duodenostasis existing before the operation, the afferent loop syndrome, postresection cholecystitis and pancreatitis, the dumping syndrome. The formation of valvar anastomoses and early recognition and correction fo ChDDP in resection of the stomach (554 patients) made it possible to reduce significantly both the mortality rates (0.18%) and the percentage of other complications.
对狗的实验表明，十二指肠通畅性慢性紊乱（ChDDP）在胃和十二指肠溃疡术后近期及远期并发症的发生发展中所起的作用，如十二指肠残端闭锁不全、反流性胃炎、术前已存在的十二指肠淤滞进展、输入袢综合征、切除术后胆囊炎和胰腺炎、倾倒综合征。在胃切除术（554例患者）中形成瓣膜吻合以及早期识别和纠正ChDDP，使得死亡率（0.18%）和其他并发症的发生率均显著降低。
