Gorbunov V N, Stoliarchuk E V
Khirurgiia (Mosk). 1996(2):31-4.
The functional condition of the gastric outlet was studied by ultrasound in 25 individuals (the comparison group) and in 37 patients after organ-preserving operations for complicated pyloroduodenal ulcers. The diameter of the gastric outlet and the pylorus, the length of the pyloric canal were recorded during the examination and the presence or absence of duodenogastric reflux was noted. A duodenogastric reflux was found in 48% of persons of the comparison group, in 25% of patients after Judd's pyloroplasty and all patients after Finney's pyloroplasty. The data obtained provide evidence that the functional results are better in pylorus-preserving and pylorus-saving operations that in pylorus destroying operations which lead to loss of the obturation function of the pylorus.
通过超声研究了25名个体（对照组）以及37例因复杂性幽门十二指肠溃疡接受保器官手术后患者的胃出口功能状况。检查过程中记录了胃出口和幽门的直径、幽门管的长度，并留意有无十二指肠胃反流情况。对照组中48%的人存在十二指肠胃反流，在接受贾德幽门成形术的患者中有25%存在该情况，而接受芬尼幽门成形术的所有患者均存在十二指肠胃反流。所获数据证明，保留幽门和节省幽门的手术在功能结果方面优于导致幽门闭塞功能丧失的幽门毁损手术。
