Borisov V F, Vasilenko L I, Kunitskiĭ Iu L
Vestn Khir Im I I Grek. 1988 Jun;140(6):25-8.
Eight cases of ulcer of the vagotomized stomach are described which appeared at different terms after organ-preserving operations. Resections of the stomach were fulfilled to all the patients. The main role in the appearance of secondary ulcers is attached to evacuatory disorders. The authors consider the operation of choice in ulcer stenosis of the duodenum to be tubular antrumectomy with subtotal dissection of the lesser curvature and reestablishment of the direct gastroduodenal continuity. The operations on 180 patients gave good immediate and long-term results.
本文描述了8例在保留器官手术后不同时期出现的迷走神经切断术后胃溃疡病例。所有患者均接受了胃切除术。继发性溃疡的出现主要归因于排空障碍。作者认为十二指肠溃疡狭窄的首选手术是管状胃窦切除术,同时对小弯进行次全剥离并重建胃十二指肠直接连续性。对180例患者进行的手术取得了良好的近期和远期效果。