[The mechanisms of the evacuatory function of the gastric stump after a Hofmeister-Finsterer resection].

Attention is drawn to the fact that evacuation from the gastric stump is determined not only by the size of the anastomosis, the manner by which it is formed, whether transversely or longitudinally but also by the functional condition of the gastric stump and the efferent intestinal loop. Motor-evacuation disorders on the part of the stump and efferent intestinal loop precede the development of most postgastric resection syndromes. The authors examined 197 patients who underwent Hofmeister-Finsterer gastrectomy. Five types of evacuation from the gastric stump were distinguished, to which various combinations of motor function of the stump and efferent intestinal loop corresponded. After studying the type of combinations of the motor function of the stomach and efferent intestinal loop, the authors conducted purposeful correction which promoted normalization of the motor function of these organs. For instance, evacuation in portions, which is most efficient in respect of function, was encountered in 42% of patients without correction and in 75.9% of those in whom correction was undertaken. This allowed postoperative functional complications to be reduced from 38% to 12.08% and the adaptation period to be shortened by 2-3 weeks on the average.