Vogel H, Dammann H G
Dtsch Z Verdau Stoffwechselkr. 1979;39(2):74-9.
11 patients (three women) were examined 7 month to 12 years after total pancreatectomy. There were found differences of--34% to +23% between bodyweight and ideaweight. Three patients with a bodyweight less than 75% of the idealweight died, steatorrhea (8--19 g/die), bloodsugar oscillation in the 24 h-profile (40--820 mg%) and an intrinsic-factor-non-responsive vitamin B12-malabsorption without megaloblastic anemia. The roentgenexamination permitted a classification of the upper gastrointestinaltract in a type similar to B II or B I resection and a type with Y- Roux anastomosis for bilarydrainage.
11例患者(3名女性)在全胰切除术后7个月至12年接受了检查。发现体重与理想体重之间存在-34%至+23%的差异。3例体重低于理想体重75%的患者死亡,出现脂肪泻(8-19克/天)、24小时血糖波动(40-820毫克%)以及内因子无反应性维生素B12吸收不良但无巨幼细胞贫血。X线检查可将上消化道分为类似于毕Ⅱ式或毕Ⅰ式切除的类型以及用于胆汁引流的Y形 Roux吻合术类型。