| Autor: |
M, Marchesi, M, Biffoni, F, Tartaglia, R, Nobili-Benedetti, P, Picchi, F R, Pugliese, A, Lentini, F, Stocco, F P, Campana |
| Jazyk: |
italština |
| Rok vydání: |
1992 |
| Předmět: |
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| Popis: |
The study analyzes the benefits related to the gastroduodenojejunoplasty (GDJP) according to SoupaultBucaille, adopted as the corrective treatment of the Billroth II gastric resection syndrome in those cases resistant to the dieting-pharmacological supports. Our experience is based on 18 cases (13 males, 5 females, mean age 39 yrs), treated from 1982 to 1987 with GDJP for a gastric resection syndrome. The patients were observed 5 years after their resection: 10 presented with an atrophic gastritis/gastric atrophy and all had a diffuse acute phlogosis in presence of biliary storage. Manual anastomoses were performed in the first 8 cases, while staplers were used in the remaining cases. Results were quite satisfying; no operative mortality or specific complications, nor pain and biliary vomiting were registered; 14 patients over 18 (77%) gained weight significantly; only 1 patient reported low-intense early "dumping-like" symptoms easily controlled by medical therapy. Endoscopy showed no biliary reflux in all cases. Biopsies of the stump, carried on before and after the GDJP intervention, showed a marked reduction of the inflammatory aspects in 76% (13) of the patients. Among the 10 patients with atrophic gastritis/gastric atrophy, only 2 (20%) presented a significant increase in the number of gastric parietal cells and gastric principal cells. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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