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[选择性近端迷走神经切断术早期并发症的防治]

[Prevention and treatment of early complications of selective proximal vagotomy].

作者信息

Petrov V P, Rozhkov A G, Danishchuk I V, Savvin Iu N

出版信息

Vestn Khir Im I I Grek. 1985 Jul;135(7):17-21.

PMID:4060474
Abstract

When performing the selective proximal vagotomy the operations draining the stomach were shown to aggravate the existing disturbances of the motor-evacuatory function of the stomach, to result in the development of the dumping syndrome, duodenogastral reflux. The exclusion of the duodenum with the formation of gastroentero- and Y-shaped enteroenteroanastomoses is indicated in cases with the pronounced cicatricial-ulcerous alterations of the pylorobulbar zone preventing the performing of pyloroplasty after Finney and Miculicz.

摘要

在进行选择性近端迷走神经切断术时,发现排空胃的手术会加重胃运动排空功能已有的紊乱,导致倾倒综合征、十二指肠胃反流的发生。对于幽门球部区域有明显瘢痕性溃疡改变,无法按芬尼(Finney)和米库利奇(Miculicz)法进行幽门成形术的病例,宜行十二指肠切除术并形成胃肠吻合术和Y形肠肠吻合术。

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