Schumpelick V, Arlt G, Fass J, Truong S
Klinik für Chirurgie der Med. Fakultät der RWTH Aachen.
Langenbecks Arch Chir. 1988;Suppl 2:427-33.
Gastric surgery is still a major part of routine surgical practice. Diagnostic strategies should be oriented to the surgical consequences and their value for our understanding of pathophysiological connections. Endoscopy, perhaps with biphasic radiography, is mandatory for diagnosis of tumor malignity and localisation. Analysis of secretion is indicated in cases of ulcer recurrence. Postoperative syndromes can be detected and classified by scintigraphic methods. The new procedure of endoscopic ultrasonography seems to offer special benefits for diagnostic problems such as gastric lymphoma and other intramural tumors.
胃部手术仍是常规外科手术的重要组成部分。诊断策略应着眼于手术后果及其对我们理解病理生理联系的价值。内镜检查,或许结合双相造影,对于肿瘤恶性程度的诊断和定位是必不可少的。在溃疡复发的病例中,需要进行分泌分析。术后综合征可以通过闪烁扫描法进行检测和分类。内镜超声检查的新方法似乎为诸如胃淋巴瘤和其他壁内肿瘤等诊断问题提供了特殊的优势。