Kliems G, Cordesmeyer R, von Bergmann K
Langenbecks Arch Chir. 1981;354(4):273-9. doi: 10.1007/BF01271337.
The duodenogastric reflux was measured quantitatively in patients with classic gastric resections (Billroth I, Billroth II with and without enteroanastomosis) as well as in patients without gastric operations. A total of 43 patients with gastric resection and 6 without gastric operation were studied. Patients operated according to B II without Braun's enteroanastomosis (n = 10) had a bile reflux of 50.4 +/- 4.1% (SEM) during the study. Patients having been operated according to B II- and Braun's-enteroanastomosis (n = 15) and those having undergone B I-operation (n = 17) had a duodenogastric reflux of 21.5 +/- 3.7% (SEM) and 23.1 +/- 3.5% (SEM), respectively. In 6 control subjects without gastric operation bile reflux into the stomach averaged 0.5 +/- 0.4% (SEM).
对接受经典胃切除术(毕罗一式、毕罗二式,有无肠吻合术)的患者以及未接受胃部手术的患者进行了十二指肠胃反流的定量测量。共研究了43例接受胃切除术的患者和6例未接受胃部手术的患者。按照毕罗二式进行手术且未做布朗氏肠吻合术的患者(n = 10)在研究期间胆汁反流率为50.4 +/- 4.1%(标准误)。按照毕罗二式并做了布朗氏肠吻合术的患者(n = 15)以及接受毕罗一式手术的患者(n = 17)的十二指肠胃反流率分别为21.5 +/- 3.7%(标准误)和23.1 +/- 3.5%(标准误)。6例未接受胃部手术的对照受试者胆汁反流至胃的平均比例为0.5 +/- 0.4%(标准误)。