Merrill J R
Gastroenterology. 1984 Oct;87(4):957-9.
A previously unreported complication of peptic ulcer disease is described--fistula formation between the duodenum and the pancreatic duct. Symptoms that initially were typical for ulcer disease changed abruptly in intensity, character, and timing when fistulation occurred. Diagnosis of this complication was elusive. Symptoms resolved completely after alimentary diversion by a Billroth II hemigastrectomy combined with truncal vagectomy.
本文描述了一种消化性溃疡疾病先前未报道过的并发症——十二指肠与胰管之间形成瘘管。最初溃疡病的典型症状在发生瘘管形成时，其强度、性质和发作时间突然改变。这种并发症的诊断很困难。通过毕罗Ⅱ式半胃切除术联合迷走神经干切断术进行消化道改道后，症状完全缓解。
