十二指肠溃疡行迷走神经干切断术、选择性迷走神经切断术和高选择性迷走神经切断术后的粪便脂肪排泄情况。
Faecal fat excretion after truncal, selective, and highly selective vagotomy for duodenal ulcer.
作者信息
Edwards J P, Lyndon P J, Smith R B, Johnston D
出版信息
Gut. 1974 Jul;15(7):521-5. doi: 10.1136/gut.15.7.521.
Faecal fat excretion was measured on a metabolic ward in 16 patients with duodenal ulcer before operation, and in patients who were in good health more than one year after truncal vagotomy and pyloroplasty (n = 11), bilateral selective vagotomy and pyloroplasty (n = 9), or highly selective vagotomy without a drainage procedure (HSV, n = 12). Excretion of faecal fat was significantly greater (p < 0.01) in patients after both truncal and selective vagotomy with drainage than in patients before operation. Fat excretion in HSV patients was little different from that of preoperative patients. If steatorrhoea is defined as a faecal fat output of more than 6 g per day, one of 16 preoperative patients with duodenal ulcer (6%) had steatorrhoea, one of 12 HSV patients (8%) had steatorrhoea, one of nine patients after selective vagotomy and pyloroplasty (11%) had steatorrhoea but five of 11 patients after truncal vagotomy and pyloroplasty (45%) had steatorrhoea.
在代谢病房对16例十二指肠溃疡患者术前的粪便脂肪排泄情况进行了测量，并对在接受迷走神经干切断术和幽门成形术一年以上健康状况良好的患者（n = 11）、双侧选择性迷走神经切断术和幽门成形术患者（n = 9）或未行引流手术的高选择性迷走神经切断术（HSV，n = 12）患者进行了测量。与术前患者相比，接受迷走神经干切断术和选择性迷走神经切断术并引流的患者粪便脂肪排泄量显著更高（p < 0.01）。HSV患者的脂肪排泄量与术前患者的脂肪排泄量差异不大。如果将脂肪泻定义为每日粪便脂肪排出量超过6克，16例十二指肠溃疡术前患者中有1例（6%）出现脂肪泻，12例HSV患者中有1例（8%）出现脂肪泻，9例接受选择性迷走神经切断术和幽门成形术的患者中有1例（11%）出现脂肪泻，但11例接受迷走神经干切断术和幽门成形术的患者中有5例（45%）出现脂肪泻。
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