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胃切除术后倾倒综合征的胃排空情况。

Gastric emptying after surgery for the dumping syndrome.

作者信息

Harries A D, Dew M J, Crawley E O, Leach K G, Salaman J R, Rhodes J

出版信息

Postgrad Med J. 1984 Jul;60(705):458-60. doi: 10.1136/pgmj.60.705.458.

DOI:10.1136/pgmj.60.705.458
PMID:6462993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2417949/
Abstract

The dumping syndrome following gastric surgery for peptic ulcer disease can cause severe morbidity. In this study the benefit of interposition of an antiperistaltic jejunal loop to reverse peristalsis and delay gastric emptying was assessed in four patients with severe symptoms by performing gastric emptying studies pre-operatively, and at 6 months and 24 months following surgery. Gastric emptying was delayed at 6 months but by 2 years had returned to pre-operative values. Patients' symptoms were improved at 6 months and remained so despite the deterioration in gastric emptying. This surgical procedure is of some value to patients with severe symptoms due to the dumping syndrome.

摘要

消化性溃疡疾病行胃手术后的倾倒综合征可导致严重发病情况。在本研究中,通过对4例有严重症状的患者在术前、术后6个月和24个月进行胃排空研究,评估了置入逆蠕动空肠袢以逆转蠕动和延迟胃排空的益处。胃排空在术后6个月时延迟,但到2年时已恢复至术前值。患者症状在6个月时有所改善,尽管胃排空情况恶化但仍保持改善。对于因倾倒综合征出现严重症状的患者,这种手术方法具有一定价值。

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1
Gastric emptying after surgery for the dumping syndrome.胃切除术后倾倒综合征的胃排空情况。
Postgrad Med J. 1984 Jul;60(705):458-60. doi: 10.1136/pgmj.60.705.458.
2
A new operation for the dumping syndrome associated with a small gastric pouch. A report of a case.
Acta Chir Scand. 1977;143(6):379-83.
3
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The use of jejunal interposition for intractable symptoms complicating peptic ulcer surgery.空肠间置术用于治疗消化性溃疡手术后出现的顽固性症状。
Br J Surg. 1982 May;69(5):265-8. doi: 10.1002/bjs.1800690512.
7
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9
[Interposition of an antiperistaltic jejunal loop between the gastric stump and duodenum in treatment of the dumping syndrome after gastrectomy of Billroth I type].
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10
Surgical treatment of the postgastrectomy dumping syndrome.胃切除术后倾倒综合征的外科治疗
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本文引用的文献

1
Surgical treatment of the postgastrectomy dumping syndrome.胃切除术后倾倒综合征的外科治疗
Am J Surg. 1980 Jan;139(1):40-3. doi: 10.1016/0002-9610(80)90227-5.
2
Gastric emptying after intestinal resection in Crohn's disease.克罗恩病肠道切除术后的胃排空情况。
Br J Surg. 1983 Feb;70(2):92-3. doi: 10.1002/bjs.1800700212.
3
Release of vasoactive intestinal peptide in the dumping syndrome.倾倒综合征中血管活性肠肽的释放
Br Med J (Clin Res Ed). 1981 Feb 14;282(6263):507-10. doi: 10.1136/bmj.282.6263.507.
4
Clinical experience with isoperistaltic interposition of a jejunal segment for the incapacitating dumping syndrome.空肠段等蠕动间置术治疗致残性倾倒综合征的临床经验
Ann Surg. 1972 Feb;175(2):274-8. doi: 10.1097/00000658-197202000-00020.