Burrell M, Curtis A M
Yale University School of Medicine, New Haven, Connecticut.
CRC Crit Rev Diagn Imaging. 1977;10(1):17-97.
Gastric surgery has undergone continuous evolution since the 19th century. At present it is a highly sophisticated technique which provides symptomatic relief for the vast majority of patients operated upon for peptic ulcer disease. Although the overall incidence of complications has decreased, a variety of complications continues to occur and radiological examination plays a critical role in their detection, evaluation, and management. Knowledge of the variations in surgical terminology and commonly used eponyms provides the basic framework for discussion. Familiarity with the radiological appearance of the normal postoperative stomach together with an understanding of its physiology are essential prerequisites to the recognition of possible complications. Operative techniques may result in a radiographic appearance which simulates disease. Conditions as diverse as bezoars, afferent and efferent loop problems, marginal ulceration, anastomotic leakage, prolapse, and intussuception may all be characterized by distinct and highly specific radiographic changes. Physiologic problems such as dumping and malabsorption may also reflect their presence by X-ray changes. The radiographic features in a large number of surgical complications are discussed and illustrated. The importance of the radiographic examination in the postsurgical stomach is emphasized.
自19世纪以来，胃外科手术不断发展。目前，它是一项高度复杂的技术，能为绝大多数因消化性溃疡疾病接受手术的患者缓解症状。尽管并发症的总体发生率有所下降，但仍有多种并发症会发生，而放射学检查在其检测、评估和处理中起着关键作用。了解手术术语的变化和常用的人名命名法为讨论提供了基本框架。熟悉术后正常胃的放射学表现并了解其生理学是识别可能并发症的必要前提。手术技术可能导致类似疾病的放射学表现。诸如胃石、输入袢和输出袢问题、边缘溃疡、吻合口漏、脱垂和肠套叠等情况，都可能具有独特且高度特异的放射学改变。诸如倾倒综合征和吸收不良等生理问题也可能通过X线改变反映出来。本文讨论并举例说明了大量手术并发症的放射学特征。强调了放射学检查在术后胃中的重要性。
