Matsuno S, Takeda K, Miyashita E, Miyagawa K, Imamura M, Sato T
First Department of Surgery, Tohoku University School of Medicine, Sendai, Japan.
Jpn J Surg. 1988 Jan;18(1):23-30. doi: 10.1007/BF02470842.
Postoperative pancreatic function and rehabilitation were monitored in 149 patients who had had reconstruction of the digestive tract by Child's method, out of a total 151 patients who had undergone pancreaticoduodenectomy. The occurrence of peptic ulcer following Child's method may be prevented by the resection of a wider area of the stomach. Because the source of gut hormone secretion is removed by the pancreaticoduodenectomy, the secretion of this hormone is subsequently reduced and thus metabolic abnormalities also occur. If careful attention however, is paid to the maintenance of residual pancreatic function most patients who undergo pancreaticoduodenectomy can be expected to lead reasonably normal lives.
在151例行胰十二指肠切除术的患者中，对采用Child法重建消化道的149例患者的术后胰腺功能及康复情况进行了监测。采用Child法后发生消化性溃疡可通过切除更广泛的胃区域来预防。由于胰十二指肠切除术切除了肠道激素分泌源，该激素的分泌随后减少，进而也会出现代谢异常。然而，如果仔细注意维持残余胰腺功能，大多数接受胰十二指肠切除术的患者有望过上基本正常的生活。
