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KMID : 0365819730130020175
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Journal of Pusan Medical College
1973 Volume.13 No. 2 p.175 ~ p.180
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Experimental Study on Lipase Following Gastric Surgery
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Abstract
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Following gastric surgery, various complications were accompanied by steatorrhea, diarrhea, anemia and body weight loss. Wheldon E. T. and colleagues reported the fat metabolism after non-malignant gastric resection. Wollaeger, E. E. and colleagues described fecal nitrogen and fecal fat after partial gastric resection. Comfort, H. W. and his colleagues reported food absorption in gastrointestinal tract after pancreaticoduodenectomy.
Author used 9 dogs to study the lipase and cholesterol after various gastric surgery. Each dog was clinically investigated on body weight, steatorrhea and diarrhea and chemically measured lipase and cholesterol from blood every 15 days until 3 months after gastric surgery.
The result were as follows:
1´ Diarrhea was early followed from one third to two third after vagotomy.
2. Steatorrhea was followed in the lowest in vagotomy with pyloroplasty group and moderate in vag otomy with subtotal gastrectomy group having 15 cm. afferent loop and most highest in the vagotomy with subtotal gastrectomy group having 45 cm. afferent loop.
3. The values of lipase after gastric surgery was normal limit, but as time passed the values seemed to decrease in slight amount.
4. The values of cholesterol in the subtotal gastrectomy group with the long 45 cm, afferent loop seemed to decrease as time passed.
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