Ферментые препараты после резекции желудка

[FRSM]

Одобрялка на Еgor1974 не работает.

From the Department of Surgery, Mount Sinai Hospital, New York, N. Y.

Summary and Conclusions Resection of the stomach—total, proximal, or distal—accompanied or not by vagisection, is followed by physiologic derangements which derive from mechanical and anatomic alterations, functional disorganization, and metabolic aberration. These derangements manifest themselves in various syndromes which may be grouped as: (1) deficiency syndromes, (2) cardio-respiratory syndromes, (3) syndromes of homeostatic over-reaction, and (4) syndromes reflecting discoordination of normal feedback mechanisms.
Elucidation of the basic etiologic physiology has tremendously enhanced our comprehension of pathogenesis but considerable gaps in knowledge still hinder our goal of a postgastrectomy patient without dyspepsia. True, there are certain metabolic alterations which are inherent in the anatomic changes wrought by gastric surgery, but we must not be overawed by these impediments, and, above all, we must not forget that a patient exists surrounding the stomach, so that the results of gastric surgery must be profoundly influenced by extragastric and even extrasomatic or psychic factors.

Physiologic derangements following gastric resection
Journal Digestive Diseases and Sciences
Volume 7, Number 3