Vlasov A V, Perevalova N D, Verkhozina S E, Dubovko N A
Vopr Onkol. 1984;30(8):67-71.
The paper deals with an evaluation of the condition of 216 cases of stomach resection of ulcer after Hofmeister-Finsterer and using valve anastomosis. Cancer of stomach stump was observed in cases of resection performed after Hofmeister-Finsterer but did not occur in those of valve anastomosis. Postresection gastritis appeared to be more pronounced in the former cases. Sanation of bile ducts proved to be an important factor in prevention of postresection complications. A reflux anastomosis was shown to be the best method of prevention of stump gastritis. Cases of stomach resection for ulcer should be followed up during the entire survival time after operation.
本文探讨了对216例行霍夫迈斯特-芬斯特勒术式并采用瓣膜吻合术的溃疡胃切除病例的病情评估。在采用霍夫迈斯特-芬斯特勒术式进行切除的病例中观察到了残胃癌，但瓣膜吻合术的病例中未出现。残胃炎在前者病例中似乎更为明显。胆管清理被证明是预防切除术后并发症的一个重要因素。反流吻合术被证明是预防残胃炎的最佳方法。溃疡胃切除病例应在术后整个生存期进行随访。
