Maĭstrenko N A, Kurygin A A
Vestn Khir Im I I Grek. 1998;157(4):32-7.
The method of telemetry was used for studying the motor function of the stomach in 60 patients with ulcer disease before operation and in 48 patients at early terms after truncal vagotomy or resection of the stomach. An analysis of 318 cases of similar operations on the stomach was also made. The states of normo-, hypo- and adynamia were documented. A pronounced inhibition of motility of the stomach and its stump were noted during 14 and more days after vagotomy and resection. Under conditions of hypo- and adynamia the evacuatory function was maintained by the positive gastrointestinal gradient of the basal pressure and the peristaltic "pump" effect of the small intestine. The early light motor evacuatory disorders are always of the functional character and disappear by the 5th day after operation. The evacuatory disorders of the moderate and grave degree were functional in 7 from 9 patients after vagotomy and in 9 from 17 patients after resection of the stomach.
采用遥测法对60例溃疡病患者术前及48例在进行迷走神经干切断术或胃切除术后早期的胃运动功能进行了研究。对318例类似的胃部手术病例也进行了分析。记录了胃动力正常、减弱和动力缺失的状态。在迷走神经切断术和胃切除术后14天及更长时间内，观察到胃及其残端的运动明显受到抑制。在动力减弱和动力缺失的情况下，通过基础压力的正性胃肠梯度和小肠的蠕动“泵”效应来维持排空功能。早期轻度的运动性排空障碍总是功能性的，在术后第5天消失。在9例迷走神经切断术后患者中，有7例以及在17例胃切除术后患者中，有9例出现中度和重度排空障碍，这些障碍是功能性的。
