Maybury N K, Russell R C, Faber R G, Hobsley M
Br J Surg. 1977 Sep;64(9):673-6. doi: 10.1002/bjs.1800640920.
A prospective study of 40 patients undergoing proximal gastric vagotomy confirmed the validity of a new interpretation of the insulin test in the early postoperative period (Maybury et al., 1977). Of the 30 patients falling into the group expected to be free from recurrent ulceration (low risk group), none had developed symptoms suggestive of this condition, whilst of the 10 in the contrasting high risk group, 6 have already developed proved recurrences (mean follow-up period 26 months). A further group of 24 patients was studied by performing a peroperative Burge test for completeness of vagotomy and comparing these results with a postoperative insulin test. This study showed that the Burge test, properly performed, is a reliable test of the adequacy of vagotomy. The use of this test has led to a better understanding of the operative technique required to achieve the objective of an adequate vagotomy.
一项对40例行近端胃迷走神经切断术患者的前瞻性研究证实了胰岛素试验在术后早期新解释的有效性（梅伯里等人，1977年）。在预期无复发性溃疡的30例患者（低风险组）中，无一例出现提示该病的症状，而在对比的高风险组中的10例患者中，6例已证实复发（平均随访期26个月）。通过对24例患者进行术中布尔格试验以检测迷走神经切断术的完整性，并将这些结果与术后胰岛素试验进行比较，对这组患者进行了进一步研究。该研究表明，正确实施的布尔格试验是迷走神经切断术是否充分的可靠检测方法。该试验的应用使人们对实现充分迷走神经切断术目标所需的手术技术有了更好的理解。
