Billroth II. Surgery of the stomach

In different intervals 220 patients were examined after a resection of the stomach with Billroth's second operation. 179 of them spoke about complaints of different degrees of severity. The cases in question were an early dumping syndrome in 83 patients, which, with the exception of 7 patients,...

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Bibliographic Details
Published inZeitschrift für die gesamte innere Medizin und ihre Grenzgebiete Vol. 31; no. 11; p. 373
Main Authors Petzold, V H, Kothe, W, Klugmann, H J, Albert, H
Format Journal Article
LanguageGerman
Published Germany 01.06.1976
Subjects
Adult
Aged
Anemia - etiology
Female
Gastrectomy - methods
Gastritis - etiology
Gastroenterostomy
Humans
Male
Middle Aged
Nutrition Disorders - etiology
Postgastrectomy Syndromes
Recurrence
Stomach Neoplasms - etiology
Stomach Ulcer - surgery
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Summary:In different intervals 220 patients were examined after a resection of the stomach with Billroth's second operation. 179 of them spoke about complaints of different degrees of severity. The cases in question were an early dumping syndrome in 83 patients, which, with the exception of 7 patients, could be removed by simple dietetic measures, such as the elimination of incompatible foodstuff. Again and again the symptoms could be evoked by provocation with it. The method described by Henley proved as correcting operation. Apart from a few exception the fitness for work was not restricted by Billroth's second operation. In shift work or severe physical work a change of the working place was striven for. The body-weight which was reduced already before the operation again increased after operation in 50%, but reached the normal only in 20%. Recidivation ulcera and anastomositis of a suture were rare findings. Stump gastritis is no own clinical picture. Also in this case in histologically still normal mucous membrane earlier histochemical changes develop in the sense of a chronic gastritis with a reduction of the adenosin triphosphatase, the acid tissue phosphatase and succinodehydrogenase.
ISSN:0044-2542