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高选择性迷走神经切断术对胃分泌及排空的影响。

The effects of highly selective vagotomy on secretion and emptying of the stomach.

作者信息

Geurts W J, Winckers E K, Wittebol P

出版信息

Surg Gynecol Obstet. 1977 Dec;145(6):826-36.

PMID:929353
Abstract

The results of a prospective study of 60 patients with nonobstructive duodenal ulcer treated by highly selective vagotomy show that the gastric acid secretion postoperatively is effectively reduced. Judgment of completeness of highly selective vagotomy is only possible by means of an intragastric pH-metry during operation. The Hollander test answers it insufficiently. In a number of patients, highly selective vagotomy caused a fast initial phase of gastric emptying of porradge. The impression is that the contractional activity of the antrum has the same pattern before and after highly selective vagotomy.

摘要

一项对60例接受高选择性迷走神经切断术治疗的非梗阻性十二指肠溃疡患者的前瞻性研究结果表明,术后胃酸分泌得到有效降低。只有通过术中胃内pH值测定才能判断高选择性迷走神经切断术的完整性。霍兰德试验对此判断不足。在一些患者中,高选择性迷走神经切断术导致了粥的胃排空快速初始阶段。感觉是高选择性迷走神经切断术前后胃窦的收缩活动模式相同。

相似文献

1
The effects of highly selective vagotomy on secretion and emptying of the stomach.高选择性迷走神经切断术对胃分泌及排空的影响。
Surg Gynecol Obstet. 1977 Dec;145(6):826-36.
2
Serial studies of gastric secretion in patients after highly selective (parietal cell) vagotomy without a drainage procedure for duodenal ulcer. I. Effect of highly selective vagotomy on basal and pentagastrin-stimulated maximal acid output.十二指肠溃疡患者在未行引流手术的高选择性(壁细胞)迷走神经切断术后胃液分泌的系列研究。I. 高选择性迷走神经切断术对基础胃酸分泌及五肽胃泌素刺激的最大胃酸分泌的影响
Gastroenterology. 1973 Jan;64(1):1-11.
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Symposium on peptic ulcer disease: 2. Vagotomy and its variations.消化性溃疡病专题研讨会:2. 迷走神经切断术及其变体
Can J Surg. 1978 Jan;21(1):19-20.
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An evaluation of highly selective vagotomy in the treatment of chronic duodenal ulcer.
Surg Gynecol Obstet. 1980 Jun;150(6):845-9.
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Effect of highly selective vagotomy on gastric emptying, gastric acid secretion, and gastrin release: an early postoperative study in duodenal ulcer patients.高选择性迷走神经切断术对胃排空、胃酸分泌和胃泌素释放的影响:十二指肠溃疡患者术后早期研究
Tokai J Exp Clin Med. 1993 Jun;18(1-2):29-37.
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Serum group I pepsinogens after consecutive stimulations with insulin and pentagastrin in unoperated duodenal ulcer patients and in duodenal ulcer patients after proximal gastric vagotomy.未手术的十二指肠溃疡患者以及近端胃迷走神经切断术后的十二指肠溃疡患者在接受胰岛素和五肽胃泌素连续刺激后的血清I组胃蛋白酶原。
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Serial studies of gastric secretion in patients after highly selective (parietal cell) vagotomy without a drainage procedure for duodenal ulcer. II. The insulin test after highly selective vagotomy.十二指肠溃疡患者在未行引流手术的高选择性(壁细胞)迷走神经切断术后胃液分泌的系列研究。II. 高选择性迷走神经切断术后的胰岛素试验。
Gastroenterology. 1973 Jan;64(1):12-21.
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Serum gastrin and gastric acid secretion before and after proximal gastric vagotomy.近端胃迷走神经切断术前及术后的血清胃泌素和胃酸分泌
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Decrease in gastric secretion during the first three months after proximal gastric vagotomy in duodenal ulcer patients.十二指肠溃疡患者近端胃迷走神经切断术后头三个月胃液分泌减少。
Scand J Gastroenterol. 1975;10(4):363-7.
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Influence of parietal cell vagotomy and selective gastric vagotomy on gastric emptying rate and serum gastrin concentration.
Gastroenterology. 1977 Feb;72(2):212-4.

引用本文的文献

1
Should it be parietal cell vagotomy or selective vagotomy-antrectomy for treatment of duodenal ulcer? A progress report.治疗十二指肠溃疡应采用壁细胞迷走神经切断术还是选择性迷走神经切断术-胃窦切除术?一份进展报告。
Ann Surg. 1987 May;205(5):572-90. doi: 10.1097/00000658-198705000-00017.
2
Effect of selective proximal vagotomy and truncal vagotomy on gastric acid and serum gastrin responses to a meal in duodenal ulcer patients.选择性近端迷走神经切断术和迷走神经干切断术对十二指肠溃疡患者胃酸及血清胃泌素对进餐反应的影响。
Ann Surg. 1978 Oct;188(4):431-8. doi: 10.1097/00000658-197810000-00001.
3
Transgastric highly selective vagotomy (HSTRV) without drainage. Preliminary report of a new simplified procedure of treatment of duodenal ulcer.
Langenbecks Arch Chir. 1979;350(2):95-101. doi: 10.1007/BF01234291.