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Selective proximal vagotomy with and without pyloroplasty. A clinical follow-up study in connection with radiopharmaceutical measurements to monitor gastric emptying. Die selektiv proximale Vagotomie mit und ohne Pyloroplastik. Eine klinische Nachuntersuchung und nuklearmedizinische Magenentleerungsmessung

Abstract

It was the aim of the study described here to gain information relevant to the well-being of patients subjected to selective proximal vagotomy with or without pyroloplasty as soon as possible after surgery. For this purpose, particular care was taken to ascertain the frequency of recidivation and the post-operative occurrence of disturbances in the emptying of gastric contents. In 35 patients solely undergoing SPV and a further 12 individuals, where both SPV and pyroloplasty had been performed, gastric emptying was monitored using a gamma camera and computer system. All patients were given a standardised test meal consisting of 500 ml ready-made milk labeled with 2 mCi 99mTc-HSA. After the patients had been assigned to different study groups according to the gastric emptying rates established in the individual cases, it became evident that there was a correlation between gastric emptying time (T/2) and the occurrence of post-operative discomfort. In the majority of patients the gastric emptying rate was found to be increased as compared to individuals with a healthy stomach. Among a total of 8 patients showing delayed gastric emptying only one, who solely underwent SPV, reported post-operative discomfort. Markedly increased rates of gastric emptying (T/2 less than or equal to  More>>
Authors:
Publication Date:
Mar 30, 1984
Product Type:
Thesis/Dissertation
Reference Number:
DEN-89-000146; EDB-89-022325
Resource Relation:
Other Information: Diss. (Dr.med.)
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; STOMACH; DYNAMIC FUNCTION STUDIES; GASTRECTOMY; ALBUMINS; DIAGNOSIS; ISOMERIC NUCLEI; MEDICAL SURVEILLANCE; PATIENTS; RESIDENCE HALF-TIME; SCINTISCANNING; STATISTICS; TECHNETIUM 99; BETA DECAY RADIOISOTOPES; BETA-MINUS DECAY RADIOISOTOPES; BODY; COUNTING TECHNIQUES; DIAGNOSTIC TECHNIQUES; DIGESTIVE SYSTEM; GASTROINTESTINAL TRACT; HOURS LIVING RADIOISOTOPES; INTERMEDIATE MASS NUCLEI; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; MATHEMATICS; MEDICINE; NUCLEI; ODD-EVEN NUCLEI; ORGANIC COMPOUNDS; ORGANS; PROTEINS; RADIOISOTOPE SCANNING; RADIOISOTOPES; SURGERY; SURVEILLANCE; TECHNETIUM ISOTOPES; YEARS LIVING RADIOISOTOPES; 550601* - Medicine- Unsealed Radionuclides in Diagnostics
OSTI ID:
6557522
Research Organizations:
Freie Univ. Berlin (Germany, F.R.)
Country of Origin:
Germany
Language:
German
Availability:
library of Freie Univ. Berlin (Germany, F.R.).
Submitting Site:
DEN
Size:
Pages: 78
Announcement Date:
May 13, 2001

Citation Formats

Brodersen, E. Selective proximal vagotomy with and without pyloroplasty. A clinical follow-up study in connection with radiopharmaceutical measurements to monitor gastric emptying. Die selektiv proximale Vagotomie mit und ohne Pyloroplastik. Eine klinische Nachuntersuchung und nuklearmedizinische Magenentleerungsmessung. Germany: N. p., 1984. Web.
Brodersen, E. Selective proximal vagotomy with and without pyloroplasty. A clinical follow-up study in connection with radiopharmaceutical measurements to monitor gastric emptying. Die selektiv proximale Vagotomie mit und ohne Pyloroplastik. Eine klinische Nachuntersuchung und nuklearmedizinische Magenentleerungsmessung. Germany.
Brodersen, E. 1984. "Selective proximal vagotomy with and without pyloroplasty. A clinical follow-up study in connection with radiopharmaceutical measurements to monitor gastric emptying. Die selektiv proximale Vagotomie mit und ohne Pyloroplastik. Eine klinische Nachuntersuchung und nuklearmedizinische Magenentleerungsmessung." Germany.
@misc{etde_6557522,
title = {Selective proximal vagotomy with and without pyloroplasty. A clinical follow-up study in connection with radiopharmaceutical measurements to monitor gastric emptying. Die selektiv proximale Vagotomie mit und ohne Pyloroplastik. Eine klinische Nachuntersuchung und nuklearmedizinische Magenentleerungsmessung}
author = {Brodersen, E}
abstractNote = {It was the aim of the study described here to gain information relevant to the well-being of patients subjected to selective proximal vagotomy with or without pyroloplasty as soon as possible after surgery. For this purpose, particular care was taken to ascertain the frequency of recidivation and the post-operative occurrence of disturbances in the emptying of gastric contents. In 35 patients solely undergoing SPV and a further 12 individuals, where both SPV and pyroloplasty had been performed, gastric emptying was monitored using a gamma camera and computer system. All patients were given a standardised test meal consisting of 500 ml ready-made milk labeled with 2 mCi 99mTc-HSA. After the patients had been assigned to different study groups according to the gastric emptying rates established in the individual cases, it became evident that there was a correlation between gastric emptying time (T/2) and the occurrence of post-operative discomfort. In the majority of patients the gastric emptying rate was found to be increased as compared to individuals with a healthy stomach. Among a total of 8 patients showing delayed gastric emptying only one, who solely underwent SPV, reported post-operative discomfort. Markedly increased rates of gastric emptying (T/2 less than or equal to 5 min) were predominantly determined in patients subjected to SPV in conjunction with pyroloplasty. A dumping syndrome and diarrhea were diagnosed in every third patient. Clinical follow-up studies and questionnaires distributed among the study patients showed relapses to occur with a frequency of 6.7%, the recidivation of ulcera being confined to the group of patients merely undergoing SPV. (TRV).}
place = {Germany}
year = {1984}
month = {Mar}
}