Recovery of Gastric Acid after Vagotomy with and without a Drainage
作者:
J. Ørnsholt,
Stødkilde Jørgensen,
J. Marqversen,
期刊:
European Surgical Research
(Karger Available online 1982)
卷期:
Volume 14,
issue 1
页码: 56-64
ISSN:0014-312X
年代: 1982
DOI:10.1159/000128222
出版商: S. Karger AG
关键词: Acid recovery;Acid reduction;Vagotomy;Gastric drainage;Gastric secretion;Inert marker;Isotope5lCr
数据来源: Karger
摘要:
This study tests the possibility that the difference in acid reduction after parietal cell vagotomy (PCV) and selective gastric vagotomy with a drainage (SGV + D) could be explained by differences in the secretion recovered rather than by real secretory differences. A method for estimating the completeness of aspiration during gastric function tests using the isotope Nai251CrO4 as an inert marker is described. The method was used in patients with the two types of vagotomy and the recovery of gastric secretion was more complete after PCV (89.7%) than after SGV + D (75.1%). This difference may substantially account for the apparent difference in reduction of acid secretion after the two operations. The pyloroplasty supplementing the SGV is probably responsible for a pyloric loss causing a lower recovery after this operation.
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