Baron J H
Department of Surgery, Royal Postgraduate Medical School, London.
Ann R Coll Surg Engl. 1995 May;77(3):168-73.
Duodenum exposed to above threshold gastric acid secretion may ulcerate if infected with Helicobacter pylori. Duodenal ulcers can be healed by suppressing acid secretion medically or surgically; their recurrence can be prevented by lifelong antisecretory drugs or by an elective vagotomy. However, duodenal and gastric ulcers can now be healed, and recurrence prevented, without operation by eradication of H. pylori.
如果十二指肠暴露于超过阈值的胃酸分泌且感染幽门螺杆菌,就可能发生溃疡。十二指肠溃疡可通过药物或手术抑制胃酸分泌来治愈;通过终身服用抗分泌药物或选择性迷走神经切断术可预防其复发。然而,现在通过根除幽门螺杆菌,十二指肠溃疡和胃溃疡无需手术即可治愈并防止复发。