J.Jpn. Surg. Soc.. 57(10): 1673-1697, 1957
A STUDY OF FAT ABSORPTIVE FUNCTION, ESPECIALLY ITS RELATION TO INTESTINAL MOTILITY AFTER REMOVAL OF ILEOCECAL AREA BY MEANS OF FAT-BARIUM-MEALS
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The Ist Department of Surgery, School of Medicine, Chiba University (Director: Prof. Naoji KAWAI) Takayoshi HOSAKA |
In my test, no complicated measures have been taken, so that we may apply this method to the various clinical cases.
1) Checking the fat absorptive function after an operation by means of "Oleum Olivae", I have found that in many cases this function is recovered about 3 months after the operation.
2) Adaptation of the fat absorptive function conforms to roentogenologic adaptation.
3) Roentogenologic stenosis and abnormal intestinal movement disturbs the recovery of the fat absorptive function.
4) Th mesenterial area has to be kept as large as possible, as its extensive resection disturbs the recovery of the fat absorptive function, and causes in many cases, abnormal intestinal movement.
5) Fat-Barium meals were used for the first time to observe simultaneously the relation between intestinal movements and the fat absorptive function. This method has enabled us to fully observe the relation between the abnormal intestinal movements and the fat absorptive function.
6) According to follow-up rearch, clinical symptoms are improved almost to our satisfaction, with the only exception of a case when a patient died, 6 months after the operation, from a disease quit different from the subject we are now studying.
7) I am of the opinion that ileocecal resection and end-to-end anastomosis is a very safe and easy operation in view of the fat absorptive function, and that putting malignant disorders aside, this operation will become widely used if adequate consideration is given to the technique of the operation for benign disorders.
(author's abstract )
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