Hollender L F, Meyer C, Blanchot P, Molki A, Ackermann E
J Chir (Paris). 1980 Dec;117(12):671-6.
The authors analyse 40 cases of restoration of duodenal passage for severe functional sequelae after surgery for duodenal ulcer. The type of reoperation depended upon the initial operation and thus after gastric resection with gastro-jejunal anastomosis, 26 procedures involving transposition of the efferent loop to the duodenum (Soupault-Bucaille operation) were performed, 8 conversions of a gastro-jejunal anastomosis to a gastro-duodenal anastomosis and one interposition of a small intestinal loop according to the technique of Henley. After gastro-enterostomy with or without vagotomy, 3 gastric resections with gastro-duodenal anastomosis were performed, and one replacement of a gastro-enterostomy, by a pyloroplasty. Operative mortality was 3/40 cases and long term results proved to be good in 80% of the patients.
作者分析了40例十二指肠溃疡手术后严重功能后遗症的十二指肠通道重建病例。再次手术的类型取决于初次手术，因此在胃切除并进行胃空肠吻合术后，进行了26例将输出袢转位至十二指肠的手术（苏波尔特-比凯手术），8例将胃空肠吻合术改为胃十二指肠吻合术，1例按照亨利技术插入一段小肠袢。在进行了有或无迷走神经切断术的胃肠吻合术后，进行了3例胃切除并胃十二指肠吻合术，1例将胃肠吻合术改为幽门成形术。手术死亡率为40例中的3例，80%的患者长期结果良好。
