Ingvar C, Adami H O, Enander L K, Enskog L, Rydberg B
Am J Surg. 1986 Sep;152(3):308-12. doi: 10.1016/0002-9610(86)90263-1.
The results after reoperation after failed highly selective vagotomy during a 10 year period have been reviewed retrospectively. Forty of 306 patients (13 percent) underwent reoperation due to recurrent ulcer (25 patients), severe dyspepsia without proved recurrence (12 patients), and gastric stasis without recurrence (3 patients). In the first two groups, 16 patients had a second vagotomy and 17 underwent partial gastrectomy, 10 with gastroduodenostomy and 7 with gastrojejunostomy. The need for a second reoperation was disquietingly high after both revagotomy (5 of 16 patients) and partial gastrectomy with gastroduodenostomy (4 of 10 patients). These results contrasted with a successful outcome in all seven patients who underwent reoperation with partial gastrectomy and gastrojejunostomy. At the time of follow-up, 85 percent of the reoperated patients (34 of 40 patients) were in Visick grade 1 or 2 as determined by their own judgement.
回顾性分析了10年间高选择性迷走神经切断术失败后再次手术的结果。306例患者中有40例（13%）因复发性溃疡（25例）、无复发证据的严重消化不良（12例）和无复发的胃潴留（3例）接受了再次手术。在前两组中，16例患者接受了二次迷走神经切断术，17例接受了部分胃切除术，其中10例行胃十二指肠吻合术，7例行胃空肠吻合术。二次迷走神经切断术后（16例患者中有5例）和胃十二指肠吻合术部分胃切除术后（10例患者中有4例）再次手术的需求高得令人不安。这些结果与接受胃空肠吻合术部分胃切除术再次手术的所有7例患者的成功结果形成对比。在随访时，40例再次手术患者中有34例（85%）根据自身判断处于Visick 1级或2级。
