[Effect of various methods of resection of the stomach in liberation of cholecystokinin, neurotensin and on pancreatic function].
In a follow up study 19 patients after Billroth-I, 22 patients after Billroth-II-resection and 38 patients after total gastrectomy (23 with Roux-Y-reconstruction and 15 with Longmire-Gütgemann) underwent a stool fat determination and an indirect pancreatic function test with fluorescein dilaurate in serum und urine. In 9 of 19 cases (47.3%) after B-I-resection and 14 of 22 patients (63.5%) after B-II-resection there were pathological results of the PLT-test in urine. After total gastrectomy as well with reconstruction of the duodenal passage as with its exclusion the PLT-test results were pathological in 60% resp. 87%. These results indicate a secondary pancreatic insufficiency following gastric resection.
Fuchs
M
M
Klinik und Poliklinik für Allgemeinchirurgie, Universität Göttingen.
Köhler
H
H
Schafmayer
A
A
D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y; D002766:Cholecystokinin / Q000097:blood*; D010188:Exocrine Pancreatic Insufficiency / Q000097:blood; D005260:Female; D005452:Fluoresceins; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009496:Neurotensin / Q000097:blood*; D010186:Pancreatic Function Tests; D011183:Postoperative Complications / Q000097:blood*; D013274:Stomach Neoplasms / Q000097:blood / Q000601:surgery*; D013276:Stomach Ulcer / Q000097:blood / Q000601:surgery*
D005452:Fluoresceins; D009496:Neurotensin; D002766:Cholecystokinin; C034833:fluorescein dilaurate
Einfluss verschiedener Resektionsverfahren am Magen auf die Freisetzung von Cholecystokinin, Neurotensin und die Pankreasfunktion.