Causes and severity

Diarrhea - one of the characteristic effects of vagotomy. Stool frequency, the suddenness of its appearance, relationship with food intake are the main criteria for the separation syndrome in three degrees of severity: mild, moderate, severe. There are different theories of diarrhea. For example, assume that the gastric stasis and achlorhydria lead to the development of bacterial flora and infection of food masses in the upper gastrointestinal tract; denervation of the abdominal cavity leads to disruption of the exocrine function of the liver, pancreas, alters locomotor activity of the gastrointestinal tract, all of these factors eventually be realized diarrhea. These pathological syndromes can be successfully eliminated by conservative measures, diet, gastric lavage, the use of ganglion blocking.

Inadequate reduction of acidogenic function of the stomach after vagotomy may result in the development of postoperative hypersecretion gastroduodenitis clinically characterized by pain in the epigastrium (often starving), heartburn. However, these manifestations are almost never close in intensity to the ulcer. When hypersecretory gastroduodenitis, as well as in most cases, ulcer recurrence after conservative surgery with vagotomy, it is possible to obtain the stable positive result using a set of modern antiulcer therapy.

All great clinical significance is duodenogastric reflux and reflux gastritis, developing, usually on a background of violations of the motor-evacuation function of stomach and duodenum.

Modern preoperative diagnosis of the latter, finding their causes and severity, the need for intraoperative corrections become especially important when performing conservative surgery. Dysphagia after operations with vagotomy often develops in the immediate postoperative period, usually mild and tends to regress. The frequency and severity of dumping syndrome, eating disorders after conservative surgery with vagotomy significantly lower than after resection.

Metabolic disorders often develop after extensive resection of the stomach, which essentially breaks the functional synergy of the digestive tract. In the pathogenesis of these disorders, apparently plays an important role not only remove much of the body, but also off the passage of food through the duodenum, if resection performed by the method of Billroth-2.

Metabolic disorders can be accompanied by the brand viagra above-mentioned disorders, as it were woven into their clinical picture, but sometimes they become self-importance.

The most striking manifestation of metabolic disorders in the clinic is underweight.

Fall in body weight below the "normal" or an inability to collect preoperative body mass is observed in approximately 1 / 4 operated. Among the many causes of these disturbances may be noted the decline in food intake, intolerance to certain foods, the violation of absorption of fat and protein absorption of vitamins and minerals. All this is quite pointedly, when operated patients suffering severe diarrhea, hypovitaminosis, pathology of the skeletal system.

Treatment of metabolic disorders is a complex task: it must be based on diet. In severe cases, inpatient treatment is shown.

Anemia after operations on the stomach, especially gastric resection, is usually, iron character. In the pathogenesis of this disorder is essential sharp decline in production of hydrochloric acid operated stomach and rapid passage of food masses in jejunum, impaired iron absorption and assimilation of vitamins. Megaloblastic anemia after gastrectomy is rare, and for obvious reasons, more often as a consequence of gastrectomy.

Treatment of anemia include blood transfusions, iron supplements, vitamins (C, group B), the appointment of hydrochloric acid and gastric juice.

topical ointment
choice for correction
stable remission
placebo
inhibitory effects