Loranskaia T I, Khoromskiĭ L N, Benedikt V V
Vopr Pitan. 1986 Jan-Feb(1):19-22.
Altogether 253 patients operated on for peptic ulcer were examined for the action of 30 foods on motor and evacuatory function of the gastric stump and efferent intestinal loop. 213 patients were subjected to gastric resection after Hofmeister-Finsterer and 40 patients to antrum resection and truncal vagotomy. Proceeding from the action on motor function of the gastric stump and efferent intestinal loop the foods were distributed into three groups: with a stimulation, inhibitory of weak effects on the function. The first group included beef and fish broths, boiled meat, rye bread, cabbage, tomato, apple, cherry and black currant juices, rhubarb infusion, fresh kefir, carrot and pumpkin purees. The group of foods producing an inhibitory action comprised milk and milk whey, cottage cheese, sugar, butter, sunflower oil, lard, rice and oat decoctions, mashed potatoes and potato juice, buckwheat porridge and semolina, wheat bread, raw eggs, and honey. The action of the same foods was found to be different as regards the effect on the gastric stump and efferent intestinal loop, on tonic and contractile functions of the organs. The dietetic management of patients undergoing gastric operations should be carried out on a strictly individualized basis with allowance made for the functions of the gastric stump and intestinal loop and for the action of foods on the organs.
对总共253例因消化性溃疡接受手术的患者进行了研究,观察30种食物对胃残端和传出肠袢的运动及排空功能的影响。213例患者接受了霍夫迈斯特 - 芬斯特勒式胃切除术,40例患者接受了胃窦切除术和迷走神经切断术。根据对胃残端和传出肠袢运动功能的影响,将食物分为三组:具有刺激作用的、抑制作用的和对功能影响较弱的。第一组包括牛肉汤和鱼汤、煮肉、黑面包、卷心菜、番茄、苹果、樱桃和黑加仑汁、大黄浸剂、新鲜开菲尔酸奶、胡萝卜和南瓜泥。产生抑制作用的食物组包括牛奶和乳清、凝乳、糖、黄油、葵花籽油、猪油、米汤和燕麦汤、土豆泥和土豆汁、荞麦粥和粗粒小麦粉、白面包、生鸡蛋和蜂蜜。发现相同食物对胃残端和传出肠袢的影响、对器官的紧张性和收缩功能的影响是不同的。胃手术患者的饮食管理应严格根据个体情况进行,要考虑到胃残端和肠袢的功能以及食物对器官的作用。