Brunner P, Kaduk B, Filipp R
Z Gastroenterol. 1976 Jan;14(1):1-8.
40 duodenal stumps formed following gastric resections according to Billroth II were studied. The most recent stump was 6 hours old, the oldest 35 years. With some exceptions the torus on the stump---due to the suture---disappears within one year and is replaced by a wide strip of scar tissue. Chronic inflammations due to foreign bodies, some with acute exacerbation, were proved histologically to persist even decades after the resection. These inflammations are closely related with the suture material and other foreign matter. In patients submitted to the Billroth II operation, lipomatosis in the pancreas occurred more rarely, whereas fibrosis set in more often.
对40例根据毕罗Ⅱ式进行胃切除术后形成的十二指肠残端进行了研究。最新的残端为6小时，最老的为35年。除了一些例外情况，残端上由于缝合形成的隆凸在一年内消失，并被一条宽阔的瘢痕组织带所取代。组织学证实，由于异物引起的慢性炎症，有些伴有急性加重，即使在切除术后几十年仍持续存在。这些炎症与缝合材料和其他异物密切相关。接受毕罗Ⅱ式手术的患者中，胰腺脂肪过多症较少发生，而纤维化则更常出现。
