Schmitt J C, Sava G, Seror J
Acta Chir Belg. 1978 Sep-Oct;77(5):355-63.
This is a report of two accidental papillary disinsertions. The first had a good result up to 23 years after a duodenal reimplantation. The second, referred from elsewhere was reimplanted in a pediculated intestinal segment interposed between the papilla and the afferent loop of the gastrectomy : the result ten years after is favorable. The authors stress the difficulty of recognizing an unexpected disinsertion and insist on the necessity of an early reoperation. Despite the optimism of some statistics there are serious operative complications. The best prevention in the surgical treatment of low situated duodenal ulcers remains a vagotomy associated to a gastric suction.
本文报告两例意外的乳头脱入病例。第一例在十二指肠再植术后23年效果良好。第二例由其他医院转诊而来，将乳头重新植入置于乳头与胃切除术输入袢之间的带蒂肠段中：十年后的结果良好。作者强调识别意外脱入的困难，并坚持早期再次手术的必要性。尽管一些统计数据令人乐观，但仍存在严重的手术并发症。低位十二指肠溃疡手术治疗的最佳预防措施仍然是迷走神经切断术联合胃引流术。
