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Langenbecks Arch Chir · Jan 1987
[Risk of ulcer following conversion operations of Billroth I stomachs in restorative reflux-preventing procedures--an animal experiment].
- B Riechert, V Schumpelick, and B Kremer.
- Chirurgische Universitätsklinik, Universität Hamburg-Eppendorf, Abteilung Allgemeinchirurgie.
- Langenbecks Arch Chir. 1987 Jan 1; 371 (4): 253-62.
AbstractIn an experimental study on 74 rats the ulcer risk was analyzed after Billroth-I-resection changed into secondary Roux-Y-gastro-jejunostomy resp. jejunal interposition. The following results were obtained: 1) 10 months postoperatively stomal ulcers were found in up to 75%. 2) The gastric pH was comparable with the control and significantly lower than after Billroth-I-resection. 3) An additional vagotomy caused a reduction but not an elimination of the ulcer risk. We conclude from our results that there is a protective role of the postresectional intestino-gastric reflux on the gastrojejunal anastomosis. A reflux-preventive procedure is therefore heavily ulcer-prone.
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