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克罗恩病肠道切除术后的胃排空情况。

Gastric emptying after intestinal resection in Crohn's disease.

作者信息

Dew M J, Harries A D, Rhodes M, Rhodes J, Leach K G

出版信息

Br J Surg. 1983 Feb;70(2):92-3. doi: 10.1002/bjs.1800700212.

Abstract

Gastric emptying, using a liquid meal labelled with 99Tcm DTPA was studied in 6 patients with Crohn's disease who had diarrhoea following resection of the small intestine. Results were compared with those obtained in 6 normal subjects and 6 patients who had classic dumping symptoms following gastric surgery. The rate of gastric emptying of patients with Crohn's disease was similar to that of normal subjects, and differed markedly from gastric emptying in patients with the dumping syndrome (P less than 0 . 001). Diarrhoea in patients with Crohn's disease who have undergone intestinal resection is not due to rapid gastric emptying and would therefore be unlikely to respond to therapeutic measures designed to improve similar symptoms in patients who have the dumping syndrome.

摘要

对6例小肠切除术后出现腹泻的克罗恩病患者,采用标记有99锝二乙三胺五乙酸的流质餐研究胃排空情况。将结果与6名正常受试者及6例胃手术后出现典型倾倒症状的患者所得结果进行比较。克罗恩病患者的胃排空速率与正常受试者相似,与倾倒综合征患者的胃排空情况有显著差异(P<0.001)。接受过肠切除的克罗恩病患者的腹泻并非由胃排空过快所致,因此不太可能对旨在改善倾倒综合征患者类似症状的治疗措施产生反应。

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