J.Jpn. Surg. Soc.. 57(4): 542-556, 1956

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CHANGES OF WATER AND ELECTROLYTES METABOLISM AFTER ILEOCECAL RESECTION AND END TO END ANASTOMOSIS

In order to perform a complete surgical treatment, careful decision of indication and complete recognition of postoperative functional recovery. Postoperative condition of adaptation was studied on 40 cases of ileocecal resection and end to end anastomosis performed against benign diseases, from the view point of water and electrolytes metabolism.
In cases of stenosis and diarrhoea, abnormal increase of circulating plasma volume and extracellular fluid volume and decrease of serum sodium and serum chloral contents, were observed. Namely, water retention and abnormal electrolytes balance were observed in cases of diarrhoea and stenosis.
In cases in which extensive mesenterial resection was performed, stool disorders, especially diarrhoea were frequently observed. In cases in which the ring of anastomosis was larger than the tip of the thumb at the time of operation, findings of stenosis rapidly disappeared after operation. Intestinal dysfunction was frequently observed in cases of unfavorable follow-up results.
From the results mentioned above, it has been known that diarrhoea and stenosis give an unfavorable influence on the result of ileocecal resection and end to end anastomosis, and by means of reservation of the mesenterium and oblique anastomosis more favorable results can be expected.
(author's abstract)

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