Krönert T, Kähler G, Adam G, Scheele J
Abteilung Allgemeine und Viszerale Chirurgie, Friedrich-Schiller-Universität Jena.
Zentralbl Chir. 1998;123(3):239-44.
Nonphysiological alkaline reflux after partial gastrectomy may produce a range of gastrointestinal disorders. The Bilitec probe is a fibroptic sensor that, for the first time, makes in vivo measurement of this reflux possible, by assay of spectrophotometric absorption of bilirubin. We studied 20 patients who had undergone partial gastrectomy for benign peptic ulcer disease. Ten patients had Billroth II reconstruction and ten had Roux-en-Y reconstruction. In the Roux-en-Y Group we found almost complete control of symptoms and no objective evidence of alkaline reflux as measured by the Bilitec probe. In the Billroth II group we detected by the fiberoptic sensor significant bile reflux into the stomach remnant. Based on these results we recommend Roux-en-Y gastrojejunostomy as the method of choice for reconstruction after distal gastric resection.
胃部分切除术后的非生理性碱性反流可能会引发一系列胃肠道疾病。Bilitec探头是一种纤维光学传感器，它首次通过测定胆红素的分光光度吸收，实现了对这种反流的体内测量。我们研究了20例因良性消化性溃疡疾病接受胃部分切除术的患者。10例患者进行了毕Ⅱ式重建，10例进行了Roux-en-Y重建。在Roux-en-Y组中，我们发现症状几乎完全得到控制，并且通过Bilitec探头测量没有碱性反流的客观证据。在毕Ⅱ式组中，我们通过纤维光学传感器检测到大量胆汁反流至残胃。基于这些结果，我们推荐Roux-en-Y胃空肠吻合术作为远端胃切除术后重建的首选方法。
