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[溃疡手术后的复发:侵袭性溃疡病还是治疗不充分?]

[Recurrence following ulcer operation: aggressive ulcer disease or inadequate therapy?].

作者信息

Beger H G, Roscher R

出版信息

Langenbecks Arch Chir. 1985;366:121-6. doi: 10.1007/BF01836614.

DOI:10.1007/BF01836614
PMID:4058150
Abstract

Re-ulceration after surgery occurs in 2.2% following resecting procedures, in 12% following vagotomy. 10 to 30% of the re-ulcerations are unresponsive to H2-blocking agents. 70% of all patients develop re-ulceration as medical prophylaxis after re-ulceration is discontinued. The most common reasons for re-ulceration after surgery are incomplete vagotomy after inadequate organ preserving operations and too great remnant after resecting techniques.

摘要

手术切除术后再溃疡发生率为2.2%,迷走神经切断术后为12%。10%至30%的再溃疡对H2阻滞剂无反应。所有患者中有70%在停用抗再溃疡药物预防后发生再溃疡。手术后再溃疡最常见的原因是器官保留手术不充分导致迷走神经切断不完全以及切除术后残余过多。

相似文献

1
[Recurrence following ulcer operation: aggressive ulcer disease or inadequate therapy?].[溃疡手术后的复发:侵袭性溃疡病还是治疗不充分?]
Langenbecks Arch Chir. 1985;366:121-6. doi: 10.1007/BF01836614.
2
[Changes in the surgical directions in the treatment of gastric and duodenal ulcers].[胃十二指肠溃疡治疗中手术方向的变化]
Minerva Chir. 1985;40(1-2):33-44.
3
The role of surgery in the modern treatment of peptic ulcer disease.
Ital J Surg Sci. 1984;14(4):345-9.
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Duodenal ulcer: a disease in evolution.十二指肠溃疡:一种正在演变的疾病。
Curr Probl Surg. 1984 Jan;21(1):1-79. doi: 10.1016/0011-3840(84)90037-6.
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Is antral gastrin important in the resistance of duodenal ulcers to H2 receptor antagonists or in recurrent ulceration after highly selective vagotomy?胃窦促胃液素在十二指肠溃疡对H2受体拮抗剂的抵抗性中,或在高选择性迷走神经切断术后复发性溃疡形成中起重要作用吗?
Gut. 1990 Jul;31(7):763-6. doi: 10.1136/gut.31.7.763.
6
[17-year results following vagotomy and pyloroplasty].[迷走神经切断术和幽门成形术后17年的结果]
Schweiz Med Wochenschr. 1983 Apr 16;113(15):570-1.
7
Cimetidine for recurrent ulcer after vagotomy or gastrectomy: a randomised controlled trial.西咪替丁用于迷走神经切断术或胃切除术后复发性溃疡:一项随机对照试验。
Br Med J. 1978 May 13;1(6122):1242-3. doi: 10.1136/bmj.1.6122.1242.
8
[Proximal gastric vagotomy - an interim balance].[近端胃迷走神经切断术——一种临时的平衡]
Chirurg. 1981 Aug;52(8):511-8.
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[Surgical treatment of ulcer disease 5 years before and after the introduction of cimetidine].[西咪替丁引入前后5年溃疡病的外科治疗]
Z Gastroenterol. 1983 Oct;21(10):585-92.
10
A thousand operations for ulcer disease.一千例溃疡病手术
Ann Surg. 1986 Oct;204(4):454-67. doi: 10.1097/00000658-198610000-00014.

引用本文的文献

1
[Postoperative recurrent gastroduodenal ulcer: pathogenesis--reinterventions--results].
Langenbecks Arch Chir. 1987;372:181-8. doi: 10.1007/BF01297813.

本文引用的文献

1
The Aarhus County Vagotomy Trial: trends in the problem of recurrent ulcer after parietal cell vagotomy and selective gastric vagotomy with drainage.奥胡斯郡迷走神经切断术试验:壁细胞迷走神经切断术和选择性胃迷走神经切断术加引流术后复发性溃疡问题的趋势
World J Surg. 1982 Jan;6(1):86-92. doi: 10.1007/BF01656378.
2
Cimetidine versus surgery for recurrent ulcer after gastric surgery.西咪替丁与胃手术后复发性溃疡的手术治疗比较
Ann Surg. 1982 Apr;195(4):406-12. doi: 10.1097/00000658-198204000-00005.
3
[Elective surgical procedures in duodenal ulcer therapy].
[十二指肠溃疡治疗中的择期外科手术]
Chirurg. 1982 Jan;53(1):9-15.
4
[Peptic ulcer. Pathophysiological aspects of prepyloric stomach ulcer].[消化性溃疡。幽门管溃疡的病理生理学方面]
Dtsch Med Wochenschr. 1983 Jan 28;108(4):137-41. doi: 10.1055/s-2008-1069515.
5
[Anastomotic ulcer. A clinical study].[吻合口溃疡。一项临床研究]
Med Welt. 1976 May 14;27(20):968-72.
6
Recurrent peptic ulcer.
Gastroenterology. 1976 Jan;70(1):124-35.