Postgastrectomy Syndromes and Prevention Measures

Year 1970, Volume: 23 Issue: 2, 391 - 405, 30.06.1970

Hilmi Akın

Abstract

1964 - 1968 yılları arasında I. Cerrahi Kliniğinde 105 hastaya peptik ülserden ötürü değişik tiplerde mide rezeksiyonu uygulandı.Filde edilen sonuçlarla, literatürdeki sonuçlar karşılaştırıldı. Bu 8onuçlara göre,dumping sendromu, afferent ans sendromu ve beslenme bozukluğuna bağlı sendromların en az vagotomi ve piloroplastiden sonra görüldüğü anlaşıldı.Bundan ötürü, uygun duodenum ülserlerinden selektif vagotomi ve piloplastinin diğer tekniklerden üstün olduğu kanısına varıldı.Mide ülserlerinde ise aşağıdaki kurallar yerine getirildikten sonra yerel çıkarma, vagotomi ve piloroplasti yapılmalıdır.
Bu kurallar şunlardır :
1. Ülserin ameliyat önü iyi huylu olduğu gösterilmiş olmalıdır,
2. Ameliyatta biopsi kötü huyluluk göstermemelidir.

Keywords

gastrektomi , sendrom , çözüm

Postgastrektomi Sendromları ve Önleme Çareleri

Abstract

Between 1964 and 1968, 105 patients underwent various types of gastric resection due to peptic ulcers at the First Surgery Clinic. The results reported were compared with those in the literature. According to these results, it was understood that dumping syndrome, afferent loop syndrome and malnutrition syndromes were least common after vagotomy and pyloroplasty. Therefore, it was concluded that selective vagotomy and pyloroplasty were superior to other techniques in suitable duodenal ulcers. In gastric ulcers, local excision, vagotomy and pyloroplasty should be performed after the following rules are met.

These rules are as follows:
1. The ulcer must be shown to be benign before surgery,
2. Biopsy should not show malignancy during surgery.

Keywords

gastrektomi , sendrom , çözüm

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