[Liver damage after resection of the stomach: evaluation of 215 cases (author's transl)].
Only 11% out of 215 patients with resection of the stomach had a normal liver if the term of the resection was not longer ago than 30 years. Contrarily the deposition of fat became less frequent with increasing distance from the operation term while deposition of iron (siderin) was demonstrable nearly equaly in all groups. Age and sex did not influence the behaviour of the liver after resection of the stomach. The information value by blood transaminase activity (GOT/GPT) decreases with the distance of time from the resection term. Alcoholics (n = 20) had less shares of post resection liver harms than non-alcoholics. Thus alcohol seems to be not a bigger risk for resectioned as for people with normal stomach. Repeated liver biopsies after different intervals of time pointed out that a change for the worse happened more often with increasing distance to the resection term. Therefore resected patients should be examined regularly, including liver biopsy, as to discover in time a growing up liver damage. After resection of the stomach discovered liver diseases refer to a damage caused by that stomach disease which induced the operation.
D000328:Adult; D000367:Age Factors; D000368:Aged; D000410:Alanine Transaminase / Q000097:blood; D000437:Alcoholism / Q000175:diagnosis; D001219:Aspartate Aminotransferases / Q000097:blood; D001706:Biopsy; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006485:Hemosiderin / Q000032:analysis; D006801:Humans; D008055:Lipids / Q000032:analysis; D008099:Liver / Q000032:analysis / Q000473:pathology; D008107:Liver Diseases / Q000209:etiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D013997:Time Factors
D008055:Lipids; D006485:Hemosiderin; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase
Leberschädigung nach Magenresektion? Auswertung von 215 Fällen