J.Jpn. Surg. Soc.. 86(9): 1173-1176, 1985
Report on the annual meeting
POSTPRANDIAL PLASMA SECRETIN RESPONSE IN VARIOUS RE-CONSTRUCTIVE SURGERY OF STOMACH AND PANCREAS
|
The First Department of Surgery, Osaka City University Medical School, Osaka, Japan Hideki Nishiwaki, Katsusuke Satake, Kaoru Umeyama |
In patients with Billroth I anastomosis the postprandial plasma secretin response was not so high as that for nomal volunteers, however it was much better compared with Billroth II anastomosis and Rouxen Y anastomosis after total gastrectomy. In an interposed jejunal anastomosis after total gastrectomy the plasma secretin increased at 20 minutes in postprandial state, even though there was not clear postprandial response of plasma secretin in patients with Roux-en Y anastomosis. Following the modified Child’s method after pancreatoduodenectomy the postprandial plasma secretin response was similar to that of Billroth II anastomosis. Following acid load plasma secretin response was much higher than that of postprandial state in patients with Billroth-I, Billoroth-II and Roux-Y anastomosis after gastrectomy. The results indicate that acid is important in stimulating secretin release and also the passage of food through the duodenum is important for the release of secretin.
To read the PDF file you will need Adobe Reader installed on your computer.