Hines J R, Geurkink R E, Ujiki G T, Gordon R T
Surg Gynecol Obstet. 1976 Dec;143(6):953-8.
A group of 31 patients with a variety of gastric ulcers were treated by vagotomy, biopsy, oversewing of bleeding points and a wide double pyloroplasty. On patient, a quadriplegic with multiple stress ulcers, rebled and had to undergo resection. He died a month later of progressive respiratory problems. A second quadriplegic died a month after a bleeding episode from myelitis and encephalitis resulting from a gunshot wound of the neck. He had no rebleeding. A third patient died two years after a gastric operation as a result of bronchial carcinoma. He had no recurrence of the ulcer problem. The remaining 28 patients were observed from six months to five years, an average of two and one-half years. There were no recurrences and only minimal untoward symptoms. It would appear that, for this period of observation, vagotomy with double pyloroplasty offers good treatment for patients with benign gastric ulcers.
一组31例患有各种胃溃疡的患者接受了迷走神经切断术、活检、出血点缝扎和广泛的双幽门成形术治疗。有一名四肢瘫痪且患有多处应激性溃疡的患者再次出血，不得不接受切除术。他在一个月后死于进行性呼吸问题。第二名四肢瘫痪患者在颈部枪伤导致脊髓炎和脑炎后的一次出血发作一个月后死亡。他没有再次出血。第三名患者在胃部手术后两年因支气管癌死亡。他的溃疡问题没有复发。其余28例患者观察了6个月至5年，平均两年半。没有复发，只有轻微的不良症状。在这段观察期内，迷走神经切断术加双幽门成形术似乎为良性胃溃疡患者提供了良好的治疗方法。
