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梗阻性十二指肠溃疡

Obstructing duodenal ulcer.

作者信息

Hermann R E

出版信息

Surg Clin North Am. 1976 Dec;56(6):1403-11. doi: 10.1016/s0039-6109(16)41093-5.

DOI:10.1016/s0039-6109(16)41093-5
PMID:996703
Abstract

The incidence, pathogenesis, symptoms, roentgenographic, and endoscopic findings of patients with gastric outlet obstruction from a chronic duodenal ulcer have been reviewed. In the experience of many surgeons, including myself, vagotomy and an adequate drainage procedure (Finney pyloroplasty, gastrojejunostomy, or gastroduodenostomy) provide excellent decompression of the obstructed stomach. as well as excellent control of the ulcer disease in most patients. Postvagotomy gastric atony has not been a problem.

摘要

对慢性十二指肠溃疡所致胃出口梗阻患者的发病率、发病机制、症状、X线及内镜检查结果进行了回顾。在包括我在内的许多外科医生的经验中,迷走神经切断术和适当的引流手术(芬尼幽门成形术、胃空肠吻合术或胃十二指肠吻合术)能使梗阻的胃得到良好的减压,并且能在大多数患者中很好地控制溃疡病。迷走神经切断术后胃无力并不是一个问题。

相似文献

1
Obstructing duodenal ulcer.梗阻性十二指肠溃疡
Surg Clin North Am. 1976 Dec;56(6):1403-11. doi: 10.1016/s0039-6109(16)41093-5.
2
Proximal gastric vagotomy with drainage for obstructing duodenal ulcer.
Surgery. 1988 Oct;104(4):757-64.
3
[Surgical treatment of ulcerogenic pyloroduodenal stenoses].[致溃疡型幽门十二指肠狭窄的外科治疗]
Khirurgiia (Mosk). 1999(11):61-5.
4
Duodenal obstruction from chronic pancreatitis.慢性胰腺炎所致十二指肠梗阻
Minerva Chir. 1997 Jul-Aug;52(7-8):885-9.
5
[Pyloroduodenal stenosis of ulcer origin. Apropos of 260 cases].溃疡源性幽门十二指肠狭窄。附260例报告
J Chir (Paris). 1992 Jan;129(1):27-30.
6
[Truncal vagotomy with antrectomy in the surgical treatment of ulcerous pyloroduodenal stenosis].
Chirurgia (Bucur). 1993;42(1):38-41.
7
Gastric outlet obstruction after parietal cell vagotomy with omentopexy for perforated duodenal ulcer.胃十二指肠溃疡穿孔行壁细胞迷走神经切断术加网膜固定术后的胃出口梗阻
Isr J Med Sci. 1980 Dec;16(12):819-20.
8
POSTVAGOTOMY GASTRIC ATONY.迷走神经切断术后胃无张力
Arch Surg. 1964 May;88:865-74. doi: 10.1001/archsurg.1964.01310230141027.
9
Highly selective vagotomy and drainage for duodenal ulcer stenosis.
Br J Surg. 1974 Mar;61(3):241-3. doi: 10.1002/bjs.1800610318.
10
Highly selective vagotomy and pyloric dilatation for duodenal ulcer with stenosis.高选择性迷走神经切断术与幽门扩张术治疗十二指肠溃疡伴狭窄
Br J Surg. 1981 Mar;68(3):194-6. doi: 10.1002/bjs.1800680317.

引用本文的文献

1
The prognosis of gastric outlet obstruction.胃出口梗阻的预后。
Ann Surg. 1985 Feb;201(2):176-9. doi: 10.1097/00000658-198502000-00007.
2
The successful medical management of gastric outflow obstruction associated with the use of non-steroidal anti-inflammatory drugs in the elderly.老年患者中与使用非甾体类抗炎药相关的胃流出道梗阻的成功药物治疗。
Postgrad Med J. 1991 Nov;67(793):1004-7. doi: 10.1136/pgmj.67.793.1004.