Smith G, Irving A D
Surg Gynecol Obstet. 1981 Feb;152(2):153-5.
Truncal vagotomy and posterior, no loop gastrojejunostomy is a safe and expedient procedure for chronic duodenal ulcer. A proved recurrence rate of only 1.5 per cent was noted at a mean of 10.5 years after operation in a 94 per cent follow-up study of 290 surviving patients from a consecutive series. One of the most striking features has been the identification of the relationship between age at operation and outcome. Life does, indeed, appear to begin at 40. If the decennial age groupings at operation are reviewed considering postoperative patients attaining the fifth decade of life. In the surgical treatment of chronic duodenal ulcer, the present operation is advocated for patients older than 40 years of age. It is suggested that other treatment be sought for those less than 40 years of age. If this group cannot continue with medical treatment, then a reasonable choice of operative procedure would seem to be proximal gastric vagotomy.
迷走神经干切断术加后位无环胃肠吻合术是治疗慢性十二指肠溃疡的一种安全、便捷的手术方法。在一项对连续收治的290例存活患者进行的94%随访研究中发现，术后平均10.5年的证实复发率仅为1.5%。最显著的特征之一是确定了手术年龄与手术结果之间的关系。人生确实似乎从40岁开始。如果回顾手术时的十年年龄分组，考虑术后活到50岁的患者。在慢性十二指肠溃疡的外科治疗中，对于年龄超过40岁的患者，提倡采用目前的手术方法。对于年龄小于40岁的患者，建议寻求其他治疗方法。如果这组患者不能继续接受药物治疗，那么近端胃迷走神经切断术似乎是一种合理的手术选择。
