Richter H M
Department of Surgery, Cook County Hospital, Chicago, IL 60612.
Gastroenterol Clin North Am. 1994 Jun;23(2):193-213.
Operations for peptic ulcer have evolved to minimize physiologic disturbance while ulcer recurrence is prevented. Nevertheless, all operations disturb gastrointestinal motility to some extent, and these changes correlate with postoperative side effects. In particular, the pattern of gastric emptying is altered, but small bowel emptying is largely preserved. Alterations in biliary motility increase the risk of gallstone formation after most, but not all, ulcer operations.
消化性溃疡手术已不断发展，在预防溃疡复发的同时尽量减少生理干扰。然而，所有手术都会在一定程度上干扰胃肠蠕动，而这些变化与术后副作用相关。特别是，胃排空模式会改变，但小肠排空基本保持正常。大多数（但并非所有）溃疡手术后，胆道蠕动的改变会增加胆结石形成的风险。
