Dunn D C, Thomas W E, Hunter J O
Br J Surg. 1981 Mar;68(3):194-6. doi: 10.1002/bjs.1800680317.
This paper presents the results obtained in 15 patients with duodenal ulcer and stenosis who were treated more than 3 years ago by highly selective vagotomy (HSV) and dilatation of the stenosis without a gastric drainage procedure. Patients were taking solid food 3--6 days postoperatively and were discharged after 7--14 days. There have been no recurrent stenoses. Fourteen of the 15 patients were Visick grade 1 or 2 at their last visit. One patient has a recurrent ulcer, but no restenosis. Barium meals performed on 6 patients with severe stenosis preoperatively showed satisfactory gastric emptying 1--3 years postoperatively. HSV and pyloric dilatation seems to be a safe and effective procedure for the treatment of pyloric stenosis due to chronic duodenal ulceration.
本文介绍了15例十二指肠溃疡并狭窄患者的治疗结果，这些患者在3年多以前接受了高选择性迷走神经切断术（HSV）和狭窄扩张术，未进行胃引流手术。患者术后3 - 6天开始进食固体食物，7 - 14天后出院。无复发性狭窄。15例患者中有14例在最后一次随访时为Visick 1级或2级。1例患者有复发性溃疡，但无再狭窄。术前对6例严重狭窄患者进行的钡餐检查显示，术后1 - 3年胃排空情况良好。HSV和幽门扩张术似乎是治疗慢性十二指肠溃疡所致幽门狭窄的一种安全有效的方法。
