Petrov V P, Danishchuk I V, Kurbatov O I
Vestn Khir Im I I Grek. 1986 Jan;136(1):77-9.
The dumping syndrome after selective proximal vagotomy associated with plastic operations on the pylorobulbar zone developed in 69.2% of patients, Jabuley's gastroduodenostomy being most frequently followed by it. In patients with duodenal ulcer complicated by stenosis of the gastric pylorus and who are predisposed to dumping syndrome the operation of choice should be selective proximal vagotomy associated with exclusion of the duodenum and formation of "end-to-end" gastroenteroanastomosis and Y-shaped entero-enteroanastomosis after Roux. The dumping syndrome can be prevented by performing the operation (SPV) at early periods of the disease before developing the pylorobulbar stenosis when no additional draining operations are necessary.
在与幽门球部区域整形手术相关的选择性近端迷走神经切断术后，倾倒综合征在69.2%的患者中出现，其中Jabuley胃十二指肠吻合术之后发生该综合征最为常见。对于十二指肠溃疡合并胃幽门狭窄且易患倾倒综合征的患者，首选手术应为选择性近端迷走神经切断术，并排除十二指肠，形成“端端”胃肠吻合术以及Roux术后的Y形肠肠吻合术。通过在疾病早期、在幽门球部狭窄形成之前且无需额外引流手术时进行选择性近端迷走神经切断术（SPV），可以预防倾倒综合征。
