Rossonis G A, Fatsis M E, Tsioulias G J, Rossonis S G
Int Surg. 1987 Jan-Mar;72(1):13-7.
The purpose of the present report is to demonstrate the results of conservative surgical treatment in twelve patients with postvagotomy syndrome (PVS). The reconstructive operation performed in each case depended on the preexisting drainage procedure. Out of eight patients who had undergone vagotomy and gastrojejunostomy (GJ) four suffered from bile reflux and vomiting, four from dumping (DU) and four had diarrhea. All underwent closure of GJ and two of them duodenoplasty for coexisting duodenal stenosis. The results were very good (Visick grade I and II) in all patients except for one complete failure. Out of four patients who had undergone vagotomy and pyloroplasty, three had DU, two diarrhea and two bile reflux and vomiting. Pyloric reconstruction was performed in all subjects. Symptoms were relieved in all cases. In one patient radioisotopic control showed mild G/O and D/G reflux. Conservative surgical operations give satisfactory results in the treatment of PVS. Furthermore they have lower morbidity and mortality than radical surgery.
本报告旨在展示12例迷走神经切断术后综合征（PVS）患者保守手术治疗的结果。每例患者所施行的重建手术取决于先前的引流手术。在接受迷走神经切断术和胃空肠吻合术（GJ）的8例患者中，4例出现胆汁反流和呕吐，4例出现倾倒综合征（DU），4例有腹泻。所有患者均接受了胃空肠吻合口闭合术，其中2例因并存十二指肠狭窄而接受了十二指肠成形术。除1例完全失败外，所有患者的结果均非常良好（Visick I级和II级）。在接受迷走神经切断术和幽门成形术的4例患者中，3例有倾倒综合征，2例有腹泻，2例有胆汁反流和呕吐。所有患者均进行了幽门重建。所有病例的症状均得到缓解。1例患者的放射性同位素检查显示有轻度的胃食管反流和十二指肠胃反流。保守性手术治疗PVS可取得满意的效果。此外，与根治性手术相比，其发病率和死亡率更低。
