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本文研究目的在于确定胃食管反流症状和食管炎的流行情况,测量在慢性十二指肠溃疡行选择性迷走神经切断术病人的反流程度,决定当反流和食管炎同时存在时的手术效果。病人及方法 50例患十二指肠溃疡需手术的病人在术前询问症状,内窥镜检及食管活检,食管测压和24小时食管内pH监测。在高选迷走神经切断术(32例)和迷走神经干切断加幽门成形术(18例)后三个月重复以上检查。询问症状的重点是心窝烧灼感和反酸的发生率及严重程度。病人禁食6小时后,咽部局麻下用内窥镜做上消化道检查并用活检钳在胃食管
The aim of this study was to determine the prevalence of gastroesophageal reflux symptoms and esophagitis and to measure the degree of reflux in patients with CHD who underwent selective vagotomy and to determine the effect of surgery when reflux and esophagitis coexist . PATIENTS AND METHODS Fifty patients undergoing surgery for duodenal ulcer were asked preoperative symptoms, endoscopy and esophageal biopsy, esophageal manometry, and 24-hour esophageal pH monitoring. The above procedure was repeated three months after high-powered vagotomy (32 cases) and vagotomy plus pyloroplasty (18 cases). The focus of the symptoms is the heartburn burning sensation and the incidence and severity of acid reflux. Six hours after the patient was fasted, his throat was anesthetized with an endoscope for upper gastrointestinal examination and biopsy forceps were placed in the stomach and esophagus