Dubois F, Berthelot G, Levard H
Presse Med. 1985 Apr 20;14(16):879-81.
Two cases of choledochoduodenal fistula due to a duodenal ulcer located below the bulb are reported. Both patients were operated upon. Truncular vagotomy and antrectomy were performed, followed by gastro-duodenal anastomosis; the fistula itself was left untouched. Subject to some technical precautions, this operation, feared by most authors, is perfectly adequate, as it provides optimal conditions for healing of the ulcer, which is the main purpose of any surgical intervention in such cases.
本文报告了2例因十二指肠球部以下溃疡导致胆总管十二指肠瘘的病例。两名患者均接受了手术。进行了迷走神经干切断术和胃窦切除术，随后进行了胃十二指肠吻合术；瘘管本身未作处理。尽管大多数作者担心，但在采取一些技术预防措施的情况下，这种手术是完全可行的，因为它为溃疡愈合提供了最佳条件，而这是此类病例中任何外科干预的主要目的。
