Green R, Spencer A, Kennedy T
Br J Surg. 1978 Mar;65(3):161-3. doi: 10.1002/bjs.1800650306.
When dumping, diarrhoea or bile vomiting follows vagotomy and gastrojejunostomy, simple closure of the stoma, without alternative drainage, has been performed in 19 patients. Thirteen patients, 5 with truncal, 7 with selective and 1 with proximal gastric vagotomy, have been followed up for 1-6 years. Five were completely relieved of symptoms, 7 improved and there was only 1 complete failure. Bile vomiting was more often relieved than dumping or diarrhoea. The procedure is safe and significant gastric retention does not occur provided that at least one year is allowed to elaspse after the primary operation.
当迷走神经切断术和胃空肠吻合术后出现倾倒、腹泻或胆汁呕吐时，19例患者接受了单纯的造口关闭术，未进行其他引流。13例患者，其中5例行全胃迷走神经切断术，7例行选择性迷走神经切断术，1例行近端胃迷走神经切断术，随访1至6年。5例症状完全缓解，7例有所改善，仅1例完全失败。胆汁呕吐比倾倒或腹泻更常得到缓解。该手术是安全的，只要在初次手术后至少等待一年，就不会出现明显的胃潴留。
