Gadzhiev A S
Vestn Khir Im I I Grek. 1976 Jul;11(7):9-13.
In the paper, the causes, clinic and treatment in 15 patients with recurrent peptic ulcer after repeated operative procedures for duodenal ulcer are described. The main causes of the recurrence were as follows: the remaining of the mucous membrane of the antral gastric portion in Finsterer gastric resection for ulcer exclusion (5) and Zollinger-Ellison syndrome (10). The surgical therapy consisted in resection of the antral portion and repeated gastric resection (the first group) or in subtotal gastrectomy associated with trunk vagotomy (the second group).
本文描述了15例十二指肠溃疡反复手术后复发性消化性溃疡患者的病因、临床情况及治疗方法。复发的主要原因如下:芬斯特勒溃疡旷置胃切除术(5例)及佐林格-埃利森综合征(10例)中胃窦部黏膜残留。手术治疗包括切除胃窦部并再次行胃切除术(第一组)或行胃大部切除术加迷走神经干切断术(第二组)。