Elhadad A, Debesse B, Latarjet I, Thomeret G
Sem Hop. 1978;54(25-28):846-54.
62 reoperations were performed in 54 patients for failure of surgery for chronic ulcer. In 15 cases there was a recurrence of an ulcer left in position, in 32 cases there was an anastomotic ulcer, in 4 cases, severe hemorrhage for severe inflammation of the stoma without recurrence of the ulcer and in 11 cases, there were severe functional disorders. The authors are convinced that in the treatment of recurrent ulcer, vagotomy should always complete gastrectomy and vice versa. It is because they did not follow this advice in the early stages that they had to reoperate certain patients several times for new ulcer recurrences. The results of reoperation for functional disorders when indicated in a gastrectomised patient were mediocre in the vagotomised patients.
54例患者因慢性溃疡手术失败而进行了62次再次手术。15例患者原位遗留的溃疡复发，32例出现吻合口溃疡，4例因吻合口严重炎症导致严重出血但溃疡未复发，11例出现严重的功能紊乱。作者坚信，在复发性溃疡的治疗中，迷走神经切断术应始终与胃切除术同时进行，反之亦然。正是因为他们在早期没有遵循这一建议，才不得不对某些患者因新的溃疡复发而多次进行再次手术。对于胃切除术后出现功能紊乱而进行再次手术的患者，迷走神经切断术后的效果一般。
