Vakhidov V V, Khachiev L G, Khadzhibaev A M
Khirurgiia (Mosk). 1990 Feb(2):73-7.
Among 322 patients with postvagotomy syndromes who were examined by the authors, 133 were subjected to reconstructive and corrective operations. Most of the patients (73.7%) who underwent surgery for the second time suffered from peptic, recurrent, and persisting ulcers due to vagotomy. The authors give preference to resection methods in recurrent ulcer after vagotomy and do not resort to revagotomy in an isolated form. The authors propose a new method for resection of the stomach in peptic ulcers after vagotomy with gastroduodenoanastomosis by the Jaboulay procedure. In the authors' opinion, the choice of method for reconstructive operations should be made with due regard for the pattern of a complication, the type of a primary surgery, and causes of their development.
在作者检查的322例迷走神经切断术后综合征患者中,133例接受了重建和矫正手术。大多数(73.7%)接受二次手术的患者患有因迷走神经切断术导致的消化性、复发性和持续性溃疡。作者在迷走神经切断术后复发性溃疡中更倾向于采用切除方法,而不单独采用迷走神经再切断术。作者提出了一种通过贾布莱手术进行胃十二指肠吻合术治疗迷走神经切断术后消化性溃疡的胃切除新方法。作者认为,重建手术方法的选择应充分考虑并发症的类型、初次手术的类型及其发生原因。