title: [Pathologic relations and diagnostic difficulties in pancreatic and gallbladder diseases following gastric surgery].
abstract: The authors studied the diagnostic possibilities of biliary and pancreatic diseases in patients after different types of operation of the stomach. In these cases, too, ERCP and PTC are suitable methods of examination. The authors studied 28 patients after gastric surgery: Billroth I gastrectomy: 6 cases, Billroth II gastrectomy: 21 cases and gastroenterostomy without gastrectomy: 1 case. Technical difficulties in connection with ERCP arose only with patients after Billroth II gastrectomy and the examination was successful in 67% only of the patients. The rate of successful examination of the bile duct system can be improved with the help of PTC. Apart from the technical difficulties, the analysis of the clinical material revealed data on the connections between gastric surgery and the development of biliary and pancreatic diseases. A few of these are well known in literature, but the traction and torsion of the duodenum during the preparation of the duodenal stump or gastroduodenostomy can also lead to the ductal deformity and the development of biliary and pancreatic diseases.
mesh_terms: D000328:Adult; D000368:Aged; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005260:Female; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D011178:Postgastrectomy Syndromes / Q000000981:diagnostic imaging*
vernacular_title: Pathologische Zusammenhänge und diagnostische Schwierigkeiten bei Pankreas- und Gallenerkrankungen von magoperierten Patienten.