[The Soupault-Bucaillle operation in the treatment of Billroth II gastric resection syndrome].
The study analyzes the benefits related to the gastroduodenojejunoplasty (GDJP) according to Soupault & Bucaille, adopted as the corrective treatment of the Billroth II gastric resection syndrome in those cases resistant to the dieting-pharmacological supports. Our experience is based on 18 cases (13 males, 5 females, mean age 39 yrs), treated from 1982 to 1987 with GDJP for a gastric resection syndrome. The patients were observed 5 years after their resection: 10 presented with an atrophic gastritis/gastric atrophy and all had a diffuse acute phlogosis in presence of biliary storage. Manual anastomoses were performed in the first 8 cases, while staplers were used in the remaining cases. Results were quite satisfying; no operative mortality or specific complications, nor pain and biliary vomiting were registered; 14 patients over 18 (77%) gained weight significantly; only 1 patient reported low-intense early "dumping-like" symptoms easily controlled by medical therapy. Endoscopy showed no biliary reflux in all cases. Biopsies of the stump, carried on before and after the GDJP intervention, showed a marked reduction of the inflammatory aspects in 76% (13) of the patients. Among the 10 patients with atrophic gastritis/gastric atrophy, only 2 (20%) presented a significant increase in the number of gastric parietal cells and gastric principal cells.
Marchesi
M
M
VIII Patologia Speciale Chirurgica e Propedeutica Clinica, Università degli Studi La Sapienza, Roma.
Biffoni
M
M
Tartaglia
F
F
Nobili-Benedetti
R
R
Picchi
P
P
Pugliese
F R
FR
Lentini
A
A
Stocco
F
F
Campana
F P
FP
D000328:Adult; D004386:Duodenum / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005763:Gastroenterostomy; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D011178:Postgastrectomy Syndromes / Q000601:surgery*; D011183:Postoperative Complications; D013997:Time Factors
L'intervento di Soupault e Bucaille nel trattamento della sindrome da gastroresezione sec. Billroth II.