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1
Inadequately reduced acid secretion after vagotomy for duodenal ulcer. A follow-up study three to nine years after surgery.十二指肠溃疡迷走神经切断术后胃酸分泌减少不足。术后三至九年的随访研究。
Ann Surg. 1980 Dec;192(6):711-5. doi: 10.1097/00000658-198012000-00003.
2
Changes in gastric secretion with time after vagotomy and the relationship to recurrent duodenal ulcer.迷走神经切断术后胃分泌随时间的变化及其与复发性十二指肠溃疡的关系。
Gut. 1982 Dec;23(12):1055-9. doi: 10.1136/gut.23.12.1055.
3
Influence of different techniques of proximal gastric vagotomy upon risk of recurrent duodenal ulcer and gastric acid secretion.近端胃迷走神经切断术的不同技术对十二指肠溃疡复发风险和胃酸分泌的影响。
Acta Chir Scand. 1977;143(1):53-6.
4
New assessment of the completeness of vagotomy and the selection of operation for duodenal ulcer based upon gastric pepsin secretion.基于胃蛋白酶分泌对迷走神经切断术完整性的新评估及十二指肠溃疡手术选择
Tohoku J Exp Med. 1980 Feb;130(2):183-8. doi: 10.1620/tjem.130.183.
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Highly selective vagotomy for duodenal ulcer: do hypersecretors need antrectomy?十二指肠溃疡的高选择性迷走神经切断术:高胃酸分泌者需要行胃窦切除术吗?
Br Med J. 1975 Mar 29;1(5960):716-8. doi: 10.1136/bmj.1.5960.716.
6
Relationships between gastric acid secretion and recurrent duodenal ulcer after selective vagotomy and pyloroplasty in men.男性选择性迷走神经切断术和幽门成形术后胃酸分泌与十二指肠溃疡复发的关系。
Scand J Gastroenterol. 1976;11(5):465-9.
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Gastric acid secretion and risk of recurrence of duodenal ulcer within six to eight years after truncal vagotomy and drainage.胃迷走神经干切断术及引流术后六至八年胃酸分泌与十二指肠溃疡复发风险
Gut. 1974 Sep;15(9):714-9. doi: 10.1136/gut.15.9.714.
8
Effect of parietal cell vagotomy on gastric emptying in duodenal ulcer disease.壁细胞迷走神经切断术对十二指肠溃疡病患者胃排空的影响。
Am J Surg. 1982 Jan;143(1):86-9. doi: 10.1016/0002-9610(82)90134-9.
9
Prospective controlled vagotomy trial for duodenal ulcer: primary results, sequelae, acid secretion, and recurrence rates two to five years after operation.十二指肠溃疡前瞻性对照迷走神经切断术试验:手术两至五年后的主要结果、后遗症、胃酸分泌及复发率
Ann Surg. 1981 Jan;193(1):49-55. doi: 10.1097/00000658-198101000-00008.
10
Results of elective duodenal ulcer surgery in women: comparison of truncal vagotomy and antrectomy, gastric selective vagotomy and pyloroplasty, proximal gastric vagotomy.
Ann Surg. 1978 May;187(5):576-82. doi: 10.1097/00000658-197805000-00017.

引用本文的文献

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Evaluation and management of patients with recurrent peptic ulcer disease after acid-reducing operations: a systematic review.抑酸手术后复发性消化性溃疡病患者的评估与管理:一项系统评价
J Gastrointest Surg. 2003 Jul-Aug;7(5):606-26. doi: 10.1016/s1091-255x(02)00034-3.
2
Relationship between gastric acid secretion and the rate of recurrent ulcer after parietal cell vagotomy.壁细胞迷走神经切断术后胃酸分泌与溃疡复发率之间的关系。
Ann Surg. 1993 Mar;217(3):253-9. doi: 10.1097/00000658-199303000-00007.

本文引用的文献

1
Pentapeptide and Insulin Stimulated Gastric Acid Secretion in Patients with Duodenal Ulcer before and after Selective Gastric Vagotomy and Antrum Drainage: A Comparison with Results Obtained from Studies before and after Parietal Cell Vagotomy with No Drainage Procedure.十二指肠溃疡患者选择性胃迷走神经切断术和胃窦引流前后五肽和胰岛素刺激的胃酸分泌:与未行引流术的壁细胞迷走神经切断术前后研究结果的比较
Ann Surg. 1972 Nov;176(5):649-52. doi: 10.1097/00000658-197211000-00013.
2
Gastric acid secretion and risk of recurrence of duodenal ulcer within six to eight years after truncal vagotomy and drainage.胃迷走神经干切断术及引流术后六至八年胃酸分泌与十二指肠溃疡复发风险
Gut. 1974 Sep;15(9):714-9. doi: 10.1136/gut.15.9.714.
3
Pentagastrin as a stimulant of maximal gastric acid response in man. A multicentre pilot study.
Lancet. 1967 Feb 11;1(7485):291-5.
4
The insulin test: negative and positive tests versus numerical values.胰岛素检测:阴性和阳性检测结果与数值
Scand J Gastroenterol. 1975;10(6):609-16.
5
The predictive accuracy of the postvagotomy insulin test: A new interpretation.迷走神经切断术后胰岛素试验的预测准确性:一种新的解读。
Gut. 1975 May;16(5):337-42. doi: 10.1136/gut.16.5.337.
6
Recurrent peptic ulcer.
Gastroenterology. 1976 Jan;70(1):124-35.
7
Follow-up of 100 patients five to eight years after parietal cell vagotomy.对100例患者行壁细胞迷走神经切断术后5至8年的随访。
World J Surg. 1978 Jul;2(4):525-32. doi: 10.1007/BF01563693.

十二指肠溃疡迷走神经切断术后胃酸分泌减少不足。术后三至九年的随访研究。

Inadequately reduced acid secretion after vagotomy for duodenal ulcer. A follow-up study three to nine years after surgery.

作者信息

Kjaergaard J, Jensen H E, Allermand H

出版信息

Ann Surg. 1980 Dec;192(6):711-5. doi: 10.1097/00000658-198012000-00003.

DOI:10.1097/00000658-198012000-00003
PMID:7447522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1344968/
Abstract

In a study of 545 patients who underwent vagotomies for repair of duodenal ulcers, 62 patients (11%) were found to have inadequately reduced pentapeptide and/or insulin-stimulated acid secretions three months after operation. The ulcers recurred in 14 patients within three to nine years (mean: four years) (23%, 95% confidence limits: 13-35). Postoperative acid production and acid reduction were equal in patients with and without ulcer recurrence. The patients who did not develop recurrent ulcers had significantly lower preoperative pentapeptide peak acid outputs and significantly shorter preoperative histories of ulcers than patients whose ulcers recurred.

摘要

在一项针对545例因十二指肠溃疡修复而接受迷走神经切断术的患者的研究中,发现62例患者(11%)在术后三个月时五肽和/或胰岛素刺激的胃酸分泌减少不充分。14例患者的溃疡在三至九年(平均:四年)内复发(23%,95%置信区间:13 - 35)。有溃疡复发和无溃疡复发的患者术后胃酸分泌量和胃酸分泌减少程度相当。未发生溃疡复发的患者术前五肽峰值胃酸排出量显著更低,且术前溃疡病史显著短于溃疡复发的患者。