Shiratori T, Kanaizumi T, Murata S, Morimoto Y, Ueda T, Ishikawa H, Nakatsuzi N, Kubo Y, Koya T, Tatsumi H
Tohoku J Exp Med. 1987 Jun;152(2):187-96. doi: 10.1620/tjem.152.187.
In order to prevent postoperative gastric stasis, we devised and tested the following improvements in the selective gastric vagotomy with antrectomy. (1) The gastroduodenostomy was made so as to have an acute angle to the longitudinal axis of the remnant stomach, and (2) the downward traction being exerted on the remnant stomach by the transverse colon was eliminated by dissecting the greater omentum, and then (3) the posterior wall of the corpus on the lesser curvature side was fixed to the stump of the hepatogastric ligament, and the posterior wall of the corpus on the greater curvature side was fixed to the retroperitoneum inferior to the pancreas. By these procedures, the corpus was maintained in a position superior to the anastomosis. These operative procedures resulted in preventing the gastric stasis after the start of oral feeding. The two patients on whom this operation was performed have been followed up for 3 to 4 months since the operation, and neither of them has had any complaint of gastric stasis, such as anorexia or a feeling of heaviness of the stomach.
为预防术后胃潴留，我们在选择性胃迷走神经切断术加胃窦切除术的基础上设计并测试了以下改进措施。（1）胃十二指肠吻合口与残胃纵轴呈锐角；（2）通过游离大网膜消除横结肠对残胃的向下牵拉；（3）将胃小弯侧胃体后壁固定于肝胃韧带残端，胃大弯侧胃体后壁固定于胰腺下方的腹膜后。通过这些操作，胃体保持在吻合口上方的位置。这些手术操作可预防开始经口进食后发生胃潴留。接受该手术的两名患者自手术后已随访3至4个月，均未出现胃潴留相关的不适，如食欲不振或胃部沉重感。
