[Adequate correction of gastric functional structure in surgery of peptic ulcer].
Self-regulating mechanisms of homeostasis of the digestive apparatus are interrelated and interdependent with the algorithm of alimentary chymus movement from stomach into bowels. As the natural digestive tract is disturbed (pylorectomy, shutting-off the duodenum and drainage of stomach), the pathology leaves the frameworks of one organ and takes on a polyorgan character. A new principle of operation--adequate correction of functional structures of stomach ("repair" of the organ)--is suggested. It is based on the original plastic surgery of the pyloric canal, which enables us to maintain the natural algorithm of the gastroduodenal "passage", ulcerectomy and correction of acid formation. The status of regulating systems was estimated by the vital activity of the mucous membrane of the operated stomach, the trophism of which depends on the total influence of "feedbacks", as has been known.
Naumov
V F
VF
Surgical Gastroenterology Center, Kazan.
Gabdraupova
S R
SR
Timoshenko
R O
RO
D000818:Animals; D004063:Digestion; D025461:Feedback, Physiological; D005753:Gastric Mucosa / Q000378:metabolism* / Q000473:pathology; D005766:Gastrointestinal Contents; D006706:Homeostasis; D006801:Humans; D010437:Peptic Ulcer / Q000601:surgery*; D013270:Stomach / Q000473:pathology