Iso Y, Yoh R, Okita K, Murakami N, Nozoe T, Funahashi S, Adachi Y, Matsumata T, Sugimachi K
Department of Surgery, Saiseikai Yahata General Hospital, Kitakyusyu, Japan.
Hepatogastroenterology. 1996 May-Jun;43(9):489-91.
A 44 year old man who had a 5-year history of recurrent duodenal ulcer with a choledochoduodenal fistula is reported. He showed bulbar stricture and was successfully treated with an truncal vagotomy and distal gastrectomy by Billroth II method, leaving the fistula intact. Choledochoduodenal fistula is an uncommon complication of penetrated peptic duodenal ulcer. Surgical treatment for duodenal ulcer has been recommended. Medical management with the recent anti-ulcer drugs for choledochoduodenal fistula also has been reported to gain good results.
报告了一名44岁男性，他有复发性十二指肠溃疡伴胆总管十二指肠瘘5年病史。他表现为球部狭窄，通过Billroth II法行迷走神经切断术和远端胃切除术成功治疗，瘘管未处理。胆总管十二指肠瘘是穿透性消化性十二指肠溃疡的一种罕见并发症。已推荐对十二指肠溃疡进行手术治疗。据报道，使用近期的抗溃疡药物对胆总管十二指肠瘘进行药物治疗也取得了良好效果。
