Kunath U, Kliems G
Langenbecks Arch Chir. 1981;353(4):291-7. doi: 10.1007/BF01266014.
The Y-gastrojejunostomy with a long jejunal loop is advantageous in the treatment of recurrent ulcer after gastric resection and in the treatment of persistent peptic esophageal stricture. The peptic damage of esophageal mucosa by gastric juice and bile is thus prevented, and the stricture can heal. In regard to the pathogenicity of duodenogastric bile reflux, the routine Y-technique in gastric resection seems reasonable.
采用长袢空肠的Y型胃空肠吻合术在治疗胃切除术后复发性溃疡以及持续性消化性食管狭窄方面具有优势。这样可防止胃液和胆汁对食管黏膜造成消化性损伤,使狭窄得以愈合。关于十二指肠-胃胆汁反流的致病性,胃切除术中常规的Y型技术似乎是合理的。