Hedenstedt S, Schayah N, Moberg S
Acta Chir Scand. 1980;146(1):31-4.
Selective proximal vagotomy without polyoroplasty has been shown to be a difficult operation to perform and some investigator have got a rather high frequency of recurrencies and operative complications. In an attempt to reduce the surgical failures a standardization of the operation has been undertaken. In the present material the long term results of a material operated upon with stardardized technique has been estimated. The operation resulted in a high reduction of the ability to secret acid. 90% of the patients had almost no side effects of the operation and 4.4% got a relapse. The relapses developed in patients with a negative postoperative insulin test. The prognostic value of the insulin test seems therefore doubtful.
未行胃成形术的选择性近端迷走神经切断术已被证明是一项难以实施的手术，一些研究者发现复发率和手术并发症的发生率相当高。为了减少手术失败，已对该手术进行了标准化。在本研究资料中，对采用标准化技术进行手术的一组病例的长期结果进行了评估。该手术使胃酸分泌能力大幅降低。90%的患者几乎没有手术副作用，4.4%的患者复发。复发发生在术后胰岛素试验结果为阴性的患者中。因此，胰岛素试验的预后价值似乎值得怀疑。
