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95. Kongress Der Deutschen Gesellschaft Fur Chirurgie, Munchen, 3. Bis 6. Mai 1978 (German, Paperback) Loot Price: R1,683
Discovery Miles 16 830
95. Kongress Der Deutschen Gesellschaft Fur Chirurgie, Munchen, 3. Bis 6. Mai 1978 (German, Paperback): H Junghanns

95. Kongress Der Deutschen Gesellschaft Fur Chirurgie, Munchen, 3. Bis 6. Mai 1978 (German, Paperback)

H Junghanns; Contributions by F. Linder, H -D Roeher, U Mittmann

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Loot Price R1,683 Discovery Miles 16 830 | Repayment Terms: R158 pm x 12*

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1. Nach Magenresektion oder Vagotomie mit Pyloroplastik findet sich ein gesteigerter Reflux von Gallensauren und Lysolecithin in den Magen. 2. Die hoechsten Reflux-Werte bestehen beim retrocolischen B-II (short loop), etwa gleich grosse beim B-I (ohne wesentlichen Un- terschied in den einzelnen Anastomosen-Formen) und beim anteco- lischen B-II mit Braunscher Enterostomie. Auch hier sind die Re- flux-Werte noch etwa 6 - 10-fach so hoch wie im Normal-Magen. Deutlich weniger Reflux haben die Vagotomien auch mit Pyloro- plastik, die selektiv proximale Vagotomie hat keinen Reflux. 3. Isoperistaltische Jejunuminterponate reduzieren den Reflux in Abhangigkeit von der Lange des Interponats. Gleich wirkt eine Roux-en-Y-Gastrojejunostomie. 4. Nach Hemigastrektomie und Interposition von 25 cm isoperistal- tischem Jejunum zwischen Magen und Duodenum finden sich im Tier- experiment und beim Patienten normale Reflux-Werte im Resektions- Magen. Summary 1. After gastrectomy or vagotomy with pyloroplasty the reflux of bile acids and lysolecithin increased. 2. The highest values of reflux were observed in the retrocolic (short loop) B-II anastomosis. The different types of B-I an- trectomy and the antecolic B-II with Braun's enterostomy have each the same reflux, which is significantly lower than the re- trocolic B II. Even these types of gastrectomy have 6 - 10-fold elevated reflux values compared to the controls. After vagotomy with pyloroplasty the reflux was reduced to two or three times normal. After selective proximal vagotomy without pyloroplasty no reflux was observed.

General

Imprint: Springer-Verlag
Country of origin: Germany
Release date: April 1978
First published: April 1978
Editors: H Junghanns
Contributors: F. Linder • H -D Roeher • U Mittmann
Dimensions: 244 x 170 x 18mm (L x W x T)
Format: Paperback - Trade
Pages: 319
ISBN-13: 978-3-540-08695-6
Languages: German
Categories: Books > Medicine > General issues > General
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LSN: 3-540-08695-1
Barcode: 9783540086956

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