Becker H D
Langenbecks Arch Chir. 1985;366:241-7. doi: 10.1007/BF01836641.
The importance of the duodenal passage in gastric surgery is still unknown. Most gastric procedures exclude the duodenum from food passage without severe postoperative problems. Based on our own studies we are able to demonstrate the importance of the duodenal passage for glucose homeostasis. Since most primary surgical procedures with duodenal anastomoses result in a higher operative risk, the procedures should not be used in primary gastric surgery. In dumping syndrome, however, restoration of the duodenal passage is a very effective surgical treatment.
十二指肠通道在胃部手术中的重要性仍不明确。大多数胃部手术使十二指肠不参与食物通过，术后也没有严重问题。基于我们自己的研究，我们能够证明十二指肠通道对葡萄糖稳态的重要性。由于大多数十二指肠吻合的初次手术操作会带来更高的手术风险，因此这些操作不应用于初次胃部手术。然而，在倾倒综合征中，恢复十二指肠通道是一种非常有效的手术治疗方法。
