Kuznetsov V A, Fedorov I V
Khirurgiia (Mosk). 1990 Mar(3):70-2.
A direct relationship was revealed between disorders of gastric motility before the operation and the frequency and severity of the post-gastrectomy dumping syndrome in patients with peptic ulcer. The level of increase in the frequency and amplitude of the contractions and the basal tonus of the gastric stump may serve as an objective criterion for establishing the severity of the dumping syndrome. Patients with an initial hyperkinetic type of motility are predisposed to the dumping syndrome, which must be borne in mind in choosing a variant of the operation and the method for creating the gastrointestinal anastomosis.
在消化性溃疡患者中,术前胃动力障碍与胃切除术后倾倒综合征的发生频率及严重程度之间存在直接关联。胃残端收缩频率和幅度的增加水平以及基础张力可作为判定倾倒综合征严重程度的客观标准。初始为运动亢进型的患者易患倾倒综合征,在选择手术方式及构建胃肠吻合术的方法时必须考虑到这一点。