Koelsch K A, Herms G, Kühne C
Dtsch Z Verdau Stoffwechselkr. 1979;39(5):210-6.
In 26,4% of patients (n = 201) with disturbances in the upper abdomen a serious proximal duodenitis was found. Older persons were more often concerned. A duodeno-gastric reflux was more frequent in presence of a serious duodenitis than in normal mucous membrane. Duodenitis was significantly more frequent in patients with atropic gastritis, ventricular ulcers and cholecystectomy. In the patients with reflux of bile the cases of antrum gastritis, with diseases of the biliary tract and nonoperated biliary tract diseases were significantly correlated with duodenitis; in atrophic gastritis as well as in gastric ulcers a duodeno-gastric reflux was found more than accidentally.
在26.4%的上腹部不适患者(n = 201)中发现了严重的近端十二指肠炎症。老年人更常受影响。严重十二指肠炎症患者中十二指肠-胃反流比正常黏膜患者更常见。萎缩性胃炎、胃溃疡和胆囊切除术后患者的十二指肠炎症明显更常见。胆汁反流患者中,胃窦炎、胆道疾病和未手术的胆道疾病病例与十二指肠炎症显著相关;在萎缩性胃炎和胃溃疡患者中,十二指肠-胃反流的发现并非偶然。