Lukash L K, Loranskaia T I
Vopr Pitan. 1977 Jul-Aug(4):73-6.
In 76 patients suffering from the dumping syndrome following gastric resection in connection with peptic ulcer the motor function of the gallbladder and gastric stump was studied. Investigations ascertained the existence of a direct relationship between the type of the gallbladder dyskinesia and evacuation periods from the gastric stump. The authors consider the hypermotor dyskinesia of the gallbladder combined with an accelerated evacuation from the stump to be an optimal combination after excision of the stomach. On the other hand, the hypomotor dyskinesia of the gallbladder with an accelerated emptying of the gastric stump was regarded as am explicit pathology demanding persistent curative measures. Principles of pathogenetic dietotherapy have been evolved.
对76例因消化性溃疡行胃切除术后出现倾倒综合征的患者,研究了其胆囊和胃残端的运动功能。调查确定了胆囊运动障碍类型与胃残端排空时间之间存在直接关系。作者认为,胆囊运动亢进性运动障碍合并残端排空加速是胃切除术后的最佳组合。另一方面,胆囊运动减退性运动障碍伴胃残端排空加速被视为一种明确的病理状况,需要持续的治疗措施。已经制定了病因性饮食疗法的原则。