Yang H, Yan C J, Zhao Y, Guo P
Department of Surgery, Xin Qiao Hospital, Third Military Medical College, Chongqing.
Chin Med J (Engl). 1993 Aug;106(8):619-22.
To avoid dumping after Billroth gastrectomy, we designed pylorus and antroseromuscular-flap preserving subtotal gastrectomy (PAFPG). The mean maximal plasma level of VIP (vasoactive intestinal peptide) in PAFPG after oral hypertonic glucose was close to that in the control. Compared with PAFPG group, the plasma VIP concentrations after hypertonic glucose ingestion in BI and BII group were significantly higher, and the concentration of plasma VIP in dumpers was significantly higher than that in non-dumpers after BI or BII gastrectomy. The results suggest that the amount of VIP release is related to the type of reconstruction after gastrectomy.
为避免毕罗氏胃切除术后发生倾倒综合征，我们设计了保留幽门和胃窦浆肌瓣的胃大部切除术（PAFPG）。口服高渗葡萄糖后，PAFPG组血管活性肠肽（VIP）的平均最大血浆水平接近对照组。与PAFPG组相比，BI式和BII式胃切除术后口服高渗葡萄糖后血浆VIP浓度显著升高，且BI式或BII式胃切除术后倾倒综合征患者的血浆VIP浓度显著高于非倾倒综合征患者。结果表明，VIP释放量与胃切除术后的重建方式有关。
