About the content of diastase in urine after gastric resection

Abstract

As you know, after resection of the stomach for peptic ulcer disease, many surgeons described severe complications in the form of acute inflammation, damage and necrosis of the pancreas. N. I. Leporsky reported data from different authors about 145 cases of damage to the pancreas during various operations. S. V. Lobachev, based on materials from the Institute. Sklifosovsky for 6 years, indicates that after operations in the abdominal cavity there were 166 cases of trauma to the pancreas, which occurred due to the invasion of the gland by a tumor or with penetrating ulcers. Moreover, 33 patients (22%) developed acute pancreatitis, 19 of them died. A. T. Rozhkov on 393 gastric resections in 18 patients had damage to the pancreas; of these, 9 developed fatal necrosis. G. S. Rozanov for one year observed two patients with acute pancreatitis, which arose in connection with resection of the stomach. Unfortunately, he does not write how many operations these complications account for. I. V. Starkov analyzed the case histories of 100 patients after gastric resection for cancer or ulcers; of these, in 7 the immediate cause of death was necrosis of the pancreas. Another 8 patients had partial necrosis of the pancreas, but the author considers other complications to be the cause of death. Prof. B. S. Rozanov writes that during operations on the stomach for penetrating ulcers, the pancreas is not so rarely injured with subsequent purulent fusion or necrosis.

Keywords

Kazan Medical archive

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