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[毕Ⅱ式胃切除术后改变切除方式以恢复胃十二指肠通道的结果]

[Results of an altered resection in the Billroth II-resected stomach for restoration of the gastroduodenal passage].

作者信息

Franke F, Gall F P

出版信息

Fortschr Med. 1979 Oct 25;97(40):1799-803.

PMID:540900
Abstract

Our indications for re-establishment of the gastroduodenal passage were complicated and intractable anastomotic ulcers (20 patients), loop- (8 patients) and dumping-syndromes (8 patients). All 36 procedures were carried out without mortality. Two additional reoperations were necessary because of one anastomotic stenosis and one recurrent ulcer. 83% (24 out of 29) of the patients, who had follow-up examinations, were free of complaints. Normalization of resorptive function by re-establishment of gastroduodenal passage could be proven objectively by normal laboratory values and an increase in body weight.

摘要

我们重建胃十二指肠通道的指征包括复杂且难以治愈的吻合口溃疡(20例患者)、肠袢综合征(8例患者)和倾倒综合征(8例患者)。所有36例手术均无死亡病例。由于1例吻合口狭窄和1例复发性溃疡,另外进行了2次再次手术。接受随访检查的患者中,83%(29例中的24例)没有不适症状。通过实验室指标正常化以及体重增加,可以客观地证明重建胃十二指肠通道后吸收功能恢复正常。

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