Abstract |
In an experimental study on 74 rats the ulcer risk was analyzed after Billroth-I-resection changed into secondary Roux-Y-gastro- jejunostomy resp. jejunal interposition. The following results were obtained: 1) 10 months postoperatively stomal ulcers were found in up to 75%. 2) The gastric pH was comparable with the control and significantly lower than after Billroth-I-resection. 3) An additional vagotomy caused a reduction but not an elimination of the ulcer risk. We conclude from our results that there is a protective role of the postresectional intestino-gastric reflux on the gastrojejunal anastomosis. A reflux-preventive procedure is therefore heavily ulcer-prone.
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Authors | B Riechert, V Schumpelick, B Kremer |
Journal | Langenbecks Archiv fur Chirurgie
(Langenbecks Arch Chir)
Vol. 371
Issue 4
Pg. 253-62
( 1987)
ISSN: 0023-8236 [Print] Germany |
Vernacular Title | Ulcusrisiko nach Umwandlungsoperationen von B-I-Mägen in refluxverhütende Reparationsverfahren--eine tierexperimentelle Studie. |
PMID | 3437789
(Publication Type: English Abstract, Journal Article)
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Topics |
- Anastomosis, Roux-en-Y
- Animals
- Duodenogastric Reflux
(pathology, prevention & control)
- Gastrectomy
- Gastric Acidity Determination
- Male
- Postoperative Complications
(pathology)
- Rats
- Rats, Inbred Strains
- Risk Factors
- Stomach
(pathology)
- Stomach Ulcer
(pathology)
- Vagotomy, Proximal Gastric
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