Weir D G
Postgrad Med J. 1968 Mar;44(509):234-7. doi: 10.1136/pgmj.44.509.234.
Two patients are described whose clinical condition deteriorated following gastric surgery for peptic ulceration. Both were demonstrated to be suffering from gluten enteropathy with generalized malabsorption which included lactose. Following treatment with a gluten-free diet over a 2-year period the jejunal mucosa showed a marked improvement of villous architecture associated with a return of lactose absorption to normal in one patient. This supports the view that following a gastro-jejunal anastomosis the gastric secretion is not itself injurious to the jejunal mucosal structure.
本文描述了两名患者，他们因消化性溃疡接受胃手术后临床状况恶化。两人均被证实患有麸质肠病并伴有包括乳糖在内的全身性吸收不良。在接受无麸质饮食治疗两年后，空肠黏膜显示绒毛结构明显改善，其中一名患者的乳糖吸收恢复正常。这支持了以下观点：胃空肠吻合术后，胃分泌本身不会损害空肠黏膜结构。
