Ahmad W, Harbrecht P J, Polk H C
Am J Surg. 1986 Sep;152(3):301-7. doi: 10.1016/0002-9610(86)90262-x.
Postoperative gastric retention may be minimized by avoiding the use of the Billroth I reconstruction when a large duodenal ulcer must be retained. Postoperative gastric retention is more likely to remit with conservative therapy if the procedure was a Billroth I reconstruction with a vagotomy. In other instances where there is difficulty in gastric emptying, a mechanical cause should be strongly suspected. The optimum duration of a conservative trial with suction for postoperative gastric retention may be debatable, and contrast radiography or endoscopy may be helpful; however, patience and suction are not long-term substitutes for a needed operation.
当必须保留较大的十二指肠溃疡时，避免使用毕罗Ⅰ式重建术可将术后胃潴留降至最低。如果手术是毕罗Ⅰ式重建加迷走神经切断术，术后胃潴留更有可能通过保守治疗缓解。在其他胃排空困难的情况下，应高度怀疑存在机械性原因。对于术后胃潴留进行保守性抽吸试验的最佳持续时间可能存在争议，造影检查或内镜检查可能会有所帮助；然而，耐心和抽吸并不能长期替代所需的手术。
