Benedikt V V
Khirurgiia (Mosk). 1991 Mar(3):52-7.
The author studied the secretory and motor-emptying function and the endoscopic picture of the stomach after various types of vagotomy conducted for peptic ulcer in 84 patients. The effect of the motor-evacuative function on the secretion values is shown. It is pointed out that secretion must be studied after restoration of adequate motor-emptying function, which is normalized 3-6 months after the operation. The endoscopic picture of the stomach depends on the type of the auxiliary operation on the stomach and the lapse of time after the operation, and the existence of reflux. The author suggests a differentiated complex of rehabilitation therapy including endogenous intracavitary pneumomassage of the stomach, its percutaneous electrostimulation, and the intake of mildly-mineralized water; early application of these measures raises the efficacy of the surgical treatment.
作者对84例因消化性溃疡接受各类迷走神经切断术患者的胃分泌及运动排空功能以及胃内镜图像进行了研究。展示了运动排空功能对分泌值的影响。指出必须在恢复足够的运动排空功能后研究分泌情况,该功能在术后3至6个月恢复正常。胃内镜图像取决于胃部辅助手术的类型、术后时间推移以及反流的存在。作者建议采用差异化的综合康复治疗方案,包括胃内源性腔内气体按摩、经皮电刺激以及饮用轻度矿化水;早期应用这些措施可提高手术治疗的疗效。