Martínez Castro R, Vidal V, Baltasar A, Pérez-Mateo M, Sánchez Cuenca J, Martínez A, Marcote E
Hospital Virgen de los Lirios, Alcoy, Alicante.
Rev Esp Enferm Dig. 1995 Nov;87(11):769-73.
We present a new method of assessment of gastric emptying in gastrectomized patients.
The gastric emptying of non digestible solids were studied in two groups of gastrectomized patients, the Billroth II (n = 25) and the Roux-en-Y (n = 36) to relate the gastric emptying with the postgastrectomy symptoms.
The food retained in the gastric stump is related with significance with the presence (p = 0.01) and the absence (p = 0.02) of markers. The patients operated on with the Billroth II technique present a higher frequency of markers in the gastric stump (40% over 19.4% with the Roux-en-Y). The markers in the gastric stump are more common with the symptoms of pyrosis, nausea, bilious vomit, diarrhea and the postoperative gastritis of alkaline reflux.
The method of gastric emptying of non digestible solids is a valid and reliable study of the gastric emptying and should be carried out in all candidates for endoscopy because it is harmless and easy to perform and evaluate.
我们提出一种评估胃切除患者胃排空的新方法。
在两组胃切除患者中研究了难消化固体的胃排空情况，即毕Ⅱ式胃切除术组（n = 25）和Roux-en-Y胃切除术组（n = 36），以将胃排空与胃切除术后症状相关联。
残胃中留存的食物与标志物的存在（p = 0.01）和不存在（p = 0.02）具有显著相关性。采用毕Ⅱ式技术手术的患者残胃中标志物的出现频率更高（40%，而Roux-en-Y术式为19.4%）。残胃中的标志物在烧心、恶心、胆汁性呕吐、腹泻及碱性反流性术后胃炎症状中更为常见。
难消化固体胃排空方法是一种有效且可靠的胃排空研究方法，应在所有内镜检查候选者中进行，因为它无害且易于实施和评估。
