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“胃切除术后综合征”的发病机制、临床表现及治疗(作者译)

[Pathogenesis, clinical manifestations and treatment of the "postgastrectomy-syndrome" (author's transl)].

作者信息

Neumayr A, Weiss W

出版信息

Aktuelle Gerontol. 1979 Jun;9(6):257-63.

PMID:37763
Abstract

The incidence rate of complications in patients, who underwent stomach resection as surgical treatment procedure is rather high (20%). Postprandial syndromes (dumping syndrome, lactose-intolerance, afferent loop-syndrome), malabsorption syndromes (anemia, osteopathia, steatorrhea, protein deficiency) and late organic manifestations (anastomotic and suture ulcers, retrograde intussusception, gastric-stump carcinoma) were usually summarized as "postgastrectomy syndrome". A review of pathogenesis, symptoms and therapeutic approach for the various postoperative disorders is given. Selective proximal vagotomy as the surgical treatment procedure of choice is emphasized.

摘要

接受胃切除术作为手术治疗手段的患者并发症发生率相当高(20%)。餐后综合征(倾倒综合征、乳糖不耐受、输入袢综合征)、吸收不良综合征(贫血、骨病、脂肪泻、蛋白质缺乏)和晚期器质性表现(吻合口及缝线溃疡、逆行套叠、残胃癌)通常被归纳为“胃切除术后综合征”。本文对各种术后疾病的发病机制、症状及治疗方法进行了综述。强调选择性近端迷走神经切断术是首选的手术治疗方法。

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