[The postoperative status of the gastroduodenum--clinical and endoscopic analysis of 2 years' of hospital data].
In 72 patients operated on for gastric ulcer, hospitalized at the Clinic of Gastroenterology and Hepatology in Novi Sad within two years (1989, 1990) we analyzed clinical disorders, biochemical status and endoscopic findings. 75% of the patients were males and 25% females, mean age being 49 years. In 70.83% the two-thirds Billroth II resection was performed, in 15.28% the two thirds Billroth I resection, in 9.72% truncal vagotomy with pyloroplasty, while in 4.17% supraselective vagotomy was carried out. The mean period of time after the operation was 12 years. The majority of patients complained about gastrointestinal disorders, and manifest hemorrhage was detected in 4.17% of the patients. The symptoms of the afferent loop syndrome and early dumping syndrome were verified in one patient from each group. The endoscopic finding was normal in only 2.78%, reflux esophagitis in 6.94%, chronic gastritis with and without erosions in 86.11%, chronic anastomositis in 69.44%, recurrent ulcer in 29.16% out of which hemorrhagic ulcer was found in 4.17%. Malignant neoplasm of the stomach stump was endoscopically evidenced and histologically proved in 2.78%. Multiple associated endoscopic changes were found in 58.33%. The analysis indicates the diversity of postoperative disorders after one of the operations on gastroduodenum, requiring postoperative follow ups of the patients with subjective discomfort, appropriately set diagnosis and individual therapeutical approach to prevent more serious complications.
Majoros
J
J
Institut za interne bolesti, Medicinski fakultet, Novi Sad.
Dzambas
D
D
Zivanović
M
M
Petrović
Z
Z
Damjanov
D
D
Tomić
Z
Z
Hadnadev
L
L
Mrda
Z
Z
Trbojević
S
S
Barjaktarović
M
M
D000328:Adult; D000368:Aged; D004378:Duodenal Diseases / Q000175:diagnosis; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis*; D012008:Recurrence; D013272:Stomach Diseases / Q000175:diagnosis
Postoperativna stanja gastroduodenuma--klinicka i endoskopska analiza dvogodisnjeg hospitalnog materijala.