Scopinaro N, Gianetta E, Civalleri D, Bonalumi U, Bachi V
Br J Surg. 1979 Sep;66(9):613-7. doi: 10.1002/bjs.1800660905.
Bilio-pancreatic bypass is a new procedure that tries to obtain a maldigestion syndrome with selective malabsorption of the main high calorie foods. The operation consists of a gastric resection and division of the proximal jejunum just distal to the ligament of Treitz. A gastroentero-anastomosis is then constructed using the distal end of the transected jejunum, while the proximal jejunum is anastomosed to the side of the distal ileum. An experimental study carried out on 12 dogs confirmed that the operation causes a selective malabsorption with loss of weight and no complications. On the basis of this study it is suggested that this procedure has the following advantages over jejuno-ileal bypass: (a) normal absorption of bile salts, water and electrolytes; (b) slow recovery of absorption; (c) absence of a blind loop.
胆胰分流术是一种新的手术方法，旨在通过对主要高热量食物的选择性吸收不良来诱发消化吸收不良综合征。该手术包括胃切除术以及在屈氏韧带远侧切断空肠近端。然后用切断空肠的远端进行胃肠吻合，而空肠近端则与回肠远端的侧壁吻合。对12只狗进行的一项实验研究证实，该手术会导致选择性吸收不良、体重减轻且无并发症。基于这项研究，有人提出该手术方法与空肠回肠分流术相比具有以下优点：(a) 胆盐、水和电解质的正常吸收；(b) 吸收恢复缓慢；(c) 不存在盲袢。
