Rowihab N N
Int Surg. 1982 Oct-Dec;67(4 Suppl):469-70.
A vigorous perusal of the literature, including an on-line computerized medline data base search extending back to 1966, failed to present this problem in regards to transduodenal biliary surgery, although it is mentioned in regards to gastroenteric anastomosis such as the Jaboulay pyloroplasty or gastroenterostomy. A "well" patient with profuse biliary-pancreatic drainage from the T-tube which becomes evident upon resumption of oral feeding can be diagnosed as "duodenal ileus" and can be confirmed with T-tube cholangiogram and upper G.I. series. For the most part, this is an unavoidable complication. It is difficult to predict in which patient it may occur following surgery in this area.
对文献进行了全面的研读，包括对可追溯至1966年的在线计算机化医学文献数据库进行检索，结果发现关于经十二指肠的胆道手术并未出现此问题，尽管在诸如贾布莱幽门成形术或胃肠吻合术等胃肠吻合方面有所提及。一名“情况良好”的患者，在恢复经口进食后，T管出现大量胆胰引流，可诊断为“十二指肠梗阻”，并可通过T管胆管造影和上消化道造影加以证实。在很大程度上，这是一种不可避免的并发症。很难预测在该区域手术后哪些患者可能会出现这种情况。
