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胃部分切除术后倾倒综合征

Dumping following partial gastrectomy.

作者信息

Svennevig J L, Vetvik K, Bernstein O, Sigstad H

出版信息

Ann Chir Gynaecol. 1977;66(1):4-7.

PMID:848851
Abstract

The incidence of dumping has varied from 1 to 75% in a number of reported series. The discrepancy probably depends mainly on different definitions of the dumping syndrome. In the present work, the clinical diagnostic index (CDI) first proposed by Sigstad in 1968, has been used in a follow-up study of 241 patients after gastric resection for ulcer disease. 86% of the patients were satisfied with the result of the operation. Dumping occurred daily in 14.1% and 19.5% had the symptoms occasionally. The differences in the frequency of dumping after BI and BII resection were not statistically significant, gastro-jejunal fixation (GJF) and the position of the anastomosis had no influence on the prognosis.

摘要

在一些报告系列中,倾倒综合征的发生率从1%到75%不等。这种差异可能主要取决于对倾倒综合征的不同定义。在本研究中,1968年由西格斯塔德首次提出的临床诊断指数(CDI),已用于对241例因溃疡病行胃切除术后患者的随访研究。86%的患者对手术结果满意。14.1%的患者每天发生倾倒,19.5%的患者偶尔出现症状。毕Ⅰ式和毕Ⅱ式切除术后倾倒频率的差异无统计学意义,胃空肠固定术(GJF)和吻合口位置对预后无影响。

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