Dozois R R, Kelly K A
Surg Clin North Am. 1976 Dec;56(6):1267-76. doi: 10.1016/s0039-6109(16)41082-0.
Proximal gastric vagotomy, total gastric vagotomy, and truncal vagotomy all decrease gastric secretion of acid and pepsinogen, increase the concentration of gastrin in the serum, impair gastric receptive relaxation and accommodation, and speed gastric emptying of liquids. Only proximal gastric vagotomy preserves antral motility, gastric emptying of solids, and the pyloric barrier to duodenal-gastric reflux.
近端胃迷走神经切断术、全胃迷走神经切断术和迷走神经干切断术均可减少胃酸和胃蛋白酶原的分泌,增加血清胃泌素浓度,损害胃的容受性舒张和适应性,加快液体的胃排空。只有近端胃迷走神经切断术能保留胃窦蠕动、固体食物的胃排空以及幽门对十二指肠-胃反流的屏障作用。