Miksić K, Novak B, Sfiligoj R, Steinbach M
Acta Chir Iugosl. 1977;24(1 Suppl):315-6.
We have analysed the late complications (3--6 years after the operation) in 48 patients we treated by selective vagotomy and pyloroplasty because of duodenal ulcer. Authors have encountered six patients with so severe postoperative dumping syndrome that revison surgery has been performed. By reoperation there was no evidence of peptic disease but gastroduodenitis. After additional antrectomy dumping symptoms disappeared in all but one patient and radiologically the rate of test meal emptying of the stomach was reduced.
我们分析了48例因十二指肠溃疡接受选择性迷走神经切断术和幽门成形术治疗的患者术后3至6年出现的远期并发症。作者遇到6例术后倾倒综合征极为严重的患者,因此进行了翻修手术。再次手术时未发现消化性疾病迹象,但有胃十二指肠炎症。再次切除胃窦后,除1例患者外,其他患者的倾倒症状均消失,且经放射学检查胃试餐排空率降低。