Pálfi I, Preisich P
Acta Med Acad Sci Hung. 1982;39(1-2):85-90.
In the period 1968 to 1973, 177 patients were vagotomized. Endoscopy had to be performed because of definite symptoms in 37 of these patients on 56 occasions between 1971 and 1979. Vagotomy had been selective in 22, truncal in 15 cases. The intervention, regardless of its type, had failed to give the expected benefit in 21% of the patients, a proportion not inferior to the postresection figures. On the other hand, in 12% it was a recurrence of the ulcer which accounted for the symptoms. This is greatly in excess of the recurrences recorded after gastric resection either of the Billroth I or the Billroth II type. This has been attributed to inadequate technique, unsuitable indication or inappropriate selection of the type of surgery.
在1968年至1973年期间，对177例患者实施了迷走神经切断术。在1971年至1979年期间，由于明确的症状，其中37例患者接受了56次内镜检查。迷走神经切断术22例为选择性，15例为全胃切断。无论手术类型如何，21%的患者未能获得预期疗效，这一比例不低于胃切除术后的数据。另一方面，12%的患者症状是由溃疡复发引起的。这大大超过了毕罗Ⅰ式或毕罗Ⅱ式胃切除术后记录的复发率。这归因于技术不熟练、适应证不合适或手术类型选择不当。
