[Anomalies in gastric stump emptying of patients who have undergone resections for duodenal ulcer previously treated with histamine H2 receptor antagonists].
The problem of obstructed emptying of the gastric stump after Billroth II operations in patients previously treated with H2 receptors is discussed. Statistical comparison using the Student's "t" test revealed a significant difference (t = 2.173) between those given and not given H2-antagonists and confirmed the existence of greater postoperative hypotonia in the gastric stumps of the former group. This clinical syndrome demands careful monitoring of the hydroelectrolytic balance and possibly the use of a double naso-gastric and nasojejunal tube as a precaution to ensure the delivery of the jejunal contents to the stomach. The gastrokinetic drugs metoclopramide and domperidone are also beneficial.
Quaranta
L
L
Segre
D
D
Abbo
L
L
Balestrino
E
E
Clerico
D
D
Emmolo
I
I
Cardona
R
R
Massimino
S
S
D000328:Adult; D000368:Aged; D002927:Cimetidine / Q000627:therapeutic use; D004294:Domperidone / Q000627:therapeutic use; D004381:Duodenal Ulcer / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D005746:Gastric Emptying; D005763:Gastroenterostomy; D006635:Histamine H2 Antagonists / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008787:Metoclopramide / Q000627:therapeutic use; D008875:Middle Aged; D011178:Postgastrectomy Syndromes / Q000188:drug therapy; D011899:Ranitidine / Q000627:therapeutic use
D006635:Histamine H2 Antagonists; D004294:Domperidone; D002927:Cimetidine; D011899:Ranitidine; D008787:Metoclopramide
Anomalie dello svuotamento del moncone gastrico nei pazienti gastroresecati per ulcera peptica duodenale, precedentemente trattati con farmaci antagonisti dei recettori H2 dell'istamina.