Linder M M, Bussmann J F, Kösters W, Rethel R
Fortschr Med. 1977 Nov 17;95(43):2583-7.
Gastroduodenal bleeding or perforation occurs in 3.5 to 60% of renal transplant patients. Mortality ranges from 35 to 75%. Experience with prophylactic gastric surgery is based on 61 patients with chronic hemodialysis, who were prepared for renal transplantation since 1974. History, presence of ulcer disease or hyperchlorhydria were assumed to represent a gastroduodenal risk. All 20 patients with such a risk-factor received prophylactic gastric surgery (high risk: selective gastric vagotomy + hemigastrectomy in 12, low risk: selective proximal vagotomy in 6; truncal vagotomy + drainage in 2 cases). Postoperatively there were no serious complications, no lethality.
胃十二指肠出血或穿孔发生在3.5%至60%的肾移植患者中。死亡率在35%至75%之间。预防性胃手术的经验基于61例慢性血液透析患者，自1974年以来他们已准备好接受肾移植。有溃疡病或胃酸过多的病史被认为代表胃十二指肠风险。所有20例有此类风险因素的患者均接受了预防性胃手术（高风险：12例行选择性胃迷走神经切断术+半胃切除术，低风险：6例行选择性近端迷走神经切断术；2例行迷走神经干切断术+引流术）。术后无严重并发症，无死亡病例。
