Chernousov A F, Rishko V V, Bogopol'skiĭ P M, Efendiev V M
Vestn Khir Im I I Grek. 1989 Mar;142(3):34-8.
Under study were results of the associated surgical treatment of 349 patients with ulcer disease of the duodenum and reflux-esophagitis. The optimum operation procedure for this pathology at the present time is selective proximal vagotomy with fundoplication, while for stenosing reflux-esophagitis the preoperative bougienage of the esophagus should be used. If the bougienage is impossible, resection of the altered portion of the esophagus is necessary. In most patients such tactics gave good and excellent nearest and remote results.
对349例十二指肠溃疡病和反流性食管炎患者的联合手术治疗结果进行了研究。目前针对这种病理情况的最佳手术方法是选择性近端迷走神经切断术加胃底折叠术,而对于狭窄性反流性食管炎,术前应进行食管探条扩张术。如果无法进行探条扩张术,则必须切除食管病变部分。在大多数患者中,这种治疗策略取得了良好和优异的近期及远期效果。