Natalini G, Trancanelli V, Mercati U
Minerva Chir. 1978 Jun 30;33(12):737-44.
Personal experience in 87 cases of vagotomy and gastric drainage is presented. Pyloroplasty according to Heinecke-Mikulicz was performed in 50 cases and drainage according to Judd in 9. Three groups were distinguished on the basis of the presence of a "gastroduodenal canal" and "pseudodiverticula". Twenty-two patients were subjected to a Finney pyloroplasty, radiologically visible is a transparent line from the large curvature of the antrum to the lesser curvature medially. Jaboulay-Alexiu gastroduodenostomy was performed in 6 cases. Here anastomosis between the large curvature and the second duodenal portion was noted, with preservation of the pylorus. Mention is made of the difficulty of recurrent ulcer diagnosis and the exact interpretation of the appearance of the antrum, pylorus and duodenum after drainage operations of this type.
本文介绍了87例迷走神经切断术和胃引流术的个人经验。50例行Heinecke-Mikulicz式幽门成形术，9例行Judd式引流术。根据“胃十二指肠管”和“假性憩室”的存在分为三组。22例患者接受了芬尼幽门成形术，从胃窦大弯向内侧小弯可见一条放射状透明线。6例行Jaboulay-Alexiu胃十二指肠吻合术，保留幽门，在大弯和十二指肠第二部之间进行吻合。文中提到了复发性溃疡诊断的困难以及这类引流手术后胃窦、幽门和十二指肠外观的确切解读。
