Proksimal Gastrik Vagotominin Vitamin B Emilimine Etkisi
Abstract
Proksimal gastrik vagotominin (PGV) vitamin By (Vit. Bu) emilimi tizerindeki etkisi, kronik duodenal tilser nedeniyle PGV uygulanan 10 olguda arastirild1. PGV uygulamasindan once ve tig ay sonra yapilan Co” - Vit. Br emilim testlerinin kryaslanmasl sonucunda, Co”- Vit. By’nin serum dizeyinde % 39.2, idrar atiiminda % 66.4 ve fecesle atilimimda % 61.46 oraninda azalma oldugu gézlenmistir (P< 0.05). Bu azalma muhtemelen, PGV sonucu intrinsik faktor salellanmasindaki azalma ve azalan peptik aktivite ile aciklanmaktadir. PGV’nin Vit. Be emilimi uzerindeki bu azaltici etkisinin, organizmadaki Vit. By, deposuda dikkate alinirsa klinik 6nemi bulunmamaktadir.
Keywords
Proksimal gastrik vagotomi, Vitamin B emilimi, genel cerrahi
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