Pylorus‐preserving gastrectomy in the treatment of duodenal ulcer
作者:
T. P. J. Hennessy,
D. G. Weir,
D. D'auria,
期刊:
British Journal of Surgery
(WILEY Available online 1972)
卷期:
Volume 59,
issue 1
页码: 27-29
ISSN:0007-1323
年代: 1972
DOI:10.1002/bjs.1800590107
出版商: John Wiley&Sons, Ltd.
数据来源: WILEY
摘要:
AbstractTwenty patients with duodenal ulcer have been treated by a pylorus‐preserving gastrectomy. A functioning pyloric sphincter was maintained by retaining a 2‐cm. cuff of antrum and carrying out a Billroth‐I type of resection proximally. Basal acid output was reduced by 52.4 per cent and maximal acid output by 65 per cent. Gastric emptying time was prolonged, without producing stasis. A provocative test for the presence of dumping produced symptoms in only 1 patient following this operation in comparison with a high incidence of symptoms in patients who had had a Polya gastrectomy or vagotomy and drainage.The results suggest that the procedure may be of value in the treatment of chronic duodenal
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