Hoffmann J, Meisner S, Jensen H E
Br J Surg. 1983 Feb;70(2):120-1. doi: 10.1002/bjs.1800700222.
The results of antrectomy for recurrent ulcer after parietal cell vagotomy are reviewed. Eighteen patients underwent precise antrectomy between 6 months and 7 years after their primary operation. Fourteen patients were reconstructed with a gastroduodenostomy and 4 with a gastrojejunostomy. Eighteen patients were available for follow-up of between 18 months and 10 years. One patient (6.25 per cent) developed a recurrent ulcer 1 year after antrectomy. There was no operative mortality. Six patients (33 per cent) had minor complications in the immediate postoperative period, and one (5.5 per cent) had a major complication. According to Visick grading, 75 per cent had good or excellent results and 25 per cent poor results. Antrectomy following parietal cell vagotomy can be achieved with a low operative mortality, a low ulcer recurrence rate and a satisfactorily low incidence of post-gastrectomy problems.
回顾了壁细胞迷走神经切断术后复发性溃疡行胃窦切除术的结果。18例患者在初次手术后6个月至7年接受了精确的胃窦切除术。14例患者采用胃十二指肠吻合术重建，4例采用胃空肠吻合术重建。18例患者获得了18个月至10年的随访。1例患者（6.25%）在胃窦切除术后1年出现复发性溃疡。无手术死亡病例。6例患者（33%）在术后近期出现轻微并发症，1例（5.5%）出现严重并发症。根据维西克分级，75%的患者结果良好或优秀，25%的患者结果较差。壁细胞迷走神经切断术后行胃窦切除术可实现较低的手术死亡率、较低的溃疡复发率和令人满意的低胃切除术后问题发生率。
