Schumpelick V, Schwoy M, Begemann F
Langenbecks Arch Chir. 1980;350(3):207-13. doi: 10.1007/BF01237562.
The prevention of duodenogastric reflux by a jejunal transposition was studied in 11 patients following Billroth II to Billroth I reinterventions. For this purpose intragastric lysolecithin and bile acids were measured. While resected stomachs with a 25 cm isoperistaltic jejunal transposition showed normal reflux values, shorter jejunal segments still had a pathological reflux. The role of the jejunal transposition as an antireflux procedure in ulcer surgery is discussed.
在11例接受毕Ⅱ式转毕Ⅰ式再次手术的患者中,研究了空肠转位对十二指肠-胃反流的预防作用。为此,测定了胃内溶血卵磷脂和胆汁酸的含量。当采用25 cm等蠕动空肠转位的切除胃显示反流值正常时,较短的空肠段仍存在病理性反流。本文讨论了空肠转位在溃疡手术中作为抗反流手术的作用。