Thomas W E, Thompson M H, Williamson R C
Ann Surg. 1982 Feb;195(2):189-95. doi: 10.1097/00000658-198202000-00012.
A study was done of 144 patients undergoing Billroth I partial gastrectomy for benign gastric ulcer. At a mean follow-up of 9.4 years, 95 patients were alive. Of 79 patients reviewed, 84% had an excellent or good result on clinical (Visick) grading. Five cases of proven recurrent ulceration were found; two of these patients required subsequent truncal vagotomy. There was one early death after operation, and 48 late deaths, including one from carcinoma of the gastric remnant (at two years), one from a reticulum cell sarcoma of the stomach (at three years), and one from reactivation of pulmonary tuberculosis. The operation was not attended by appreciable nutritional sequelae, although there was a tendency towards iron deficiency anemia.
对144例因良性胃溃疡接受毕罗一式部分胃切除术的患者进行了一项研究。平均随访9.4年时，95例患者存活。在接受复查的79例患者中，84%的患者临床（维西克）分级结果为优良。发现5例经证实的复发性溃疡；其中2例患者随后需要进行迷走神经干切断术。术后有1例早期死亡，48例晚期死亡，包括1例胃残端癌（两年时）、1例胃网状细胞肉瘤（三年时）和1例肺结核复发。尽管有缺铁性贫血的倾向，但该手术并未出现明显的营养后遗症。
