Mason R J, Bremner C C
Department of Surgery, University of the Witwatersrand Medical School, Parktown, South Africa.
Am J Surg. 1994 Mar;167(3):322-6. doi: 10.1016/0002-9610(94)90209-7.
The importance of afferent limb draining biliopancreatic secretions in Roux-en-Y type reconstructions has never been evaluated experimentally. The effects of the suprapapillary Roux-en-Y duodenojejunostomy operation using a constant duodenal and afferent limb length but a varying afferent limb length was assessed in three groups of five baboons. Gastric emptying, which was assessed preoperatively and postoperatively, was not changed in the baboons with a 12.5-cm-long afferent limb, was significantly delayed in the baboons with a 25-cm-long limb, and was significantly increased in the baboons with a 37.5-cm-long limb. Gastric acid control remained unchanged postoperatively.
在Roux-en-Y型重建术中，输入袢引流胆胰分泌物的重要性从未经过实验评估。在三组每组五只狒狒中，评估了使用固定十二指肠和输入袢长度但改变输入袢长度的乳头上方Roux-en-Y十二指肠空肠吻合术的效果。术前和术后评估的胃排空情况显示，输入袢长度为12.5厘米的狒狒未发生变化，输入袢长度为25厘米的狒狒胃排空明显延迟，而输入袢长度为37.5厘米的狒狒胃排空显著加快。术后胃酸控制情况保持不变。
