Forestieri P, Mosella G, De Luca L, Mozzillo N, Martinelli G, Mazzeo F
Minerva Med. 1978 Nov 17;69(56):3835-45.
The criteria underlying the choice of operation in a given case and the personal technique adopted are described. The technique in question is a personal modification of end-to-side jejuno-ileal bypass codified by Payne. To minimize reflux into the blind loop, a number of technical steps are considered indispensable: 1) fluted section of the jejunal stump; 2) isoperistaltic construction of the anastomosis and, particularly, 3) the creation of a single or double valve system upstream from the anastomosis by spiral introflexion of the mucosa using seroserous stitches parallel and perpendicular to the ileal lumen. Other techniques in use are reported. These are held to be extremely interesting but are not yet supported by a long enough follow-up.
描述了在特定病例中选择手术的标准以及所采用的个人技术。所讨论的技术是对Payne编纂的端侧空肠-回肠旁路术的个人改良。为了尽量减少反流至盲袢，一些技术步骤被认为是必不可少的：1）空肠残端的带槽部分；2）吻合口的等蠕动构建，特别是3）通过使用平行和垂直于回肠腔的浆肌层缝线使黏膜螺旋内翻在吻合口上游创建单瓣膜或双瓣膜系统。还报告了其他正在使用的技术。这些技术被认为非常有趣，但尚未有足够长的随访支持。
