Petzold V H, Kothe W, Klugmann H J, Albert H
Z Gesamte Inn Med. 1976 Jun 1;31(11):373-7.
In different intervals 220 patients were examined after a resection of the stomach with Billroth's second operation. 179 of them spoke about complaints of different degrees of severity. The cases in question were an early dumping syndrome in 83 patients, which, with the exception of 7 patients, could be removed by simple dietetic measures, such as the elimination of incompatible foodstuff. Again and again the symptoms could be evoked by provocation with it. The method described by Henley proved as correcting operation. Apart from a few exception the fitness for work was not restricted by Billroth's second operation. In shift work or severe physical work a change of the working place was striven for. The body-weight which was reduced already before the operation again increased after operation in 50%, but reached the normal only in 20%. Recidivation ulcera and anastomositis of a suture were rare findings. Stump gastritis is no own clinical picture. Also in this case in histologically still normal mucous membrane earlier histochemical changes develop in the sense of a chronic gastritis with a reduction of the adenosin triphosphatase, the acid tissue phosphatase and succinodehydrogenase.
在不同时间段，对220例行毕罗Ⅱ式胃切除术后的患者进行了检查。其中179人诉说了不同程度的不适。这些病例中，83例出现早期倾倒综合征，除7例患者外，通过简单的饮食措施，如去除不相容食物，症状均可缓解。反复通过激发试验可诱发症状。亨利描述的方法被证明是一种矫正手术。除少数例外，毕罗Ⅱ式手术并未限制患者的工作能力。对于从事轮班工作或重体力劳动的患者，尽量争取更换工作岗位。术前体重已减轻的患者，术后50%体重再次增加，但只有20%恢复到正常水平。复发性溃疡和吻合口炎是罕见的发现。残胃炎并无独特的临床表现。在这种情况下，组织学上仍正常的黏膜在早期也会出现组织化学变化，表现为慢性胃炎，三磷酸腺苷酶、酸性组织磷酸酶和琥珀酸脱氢酶减少。
