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|Type:||Artigo de periódico|
|Title:||Late Postoperative Symptoms After Gastrectomy For Peptic Ulcer [avaliação Pós-operatória Tardia De Doentes Gastrectomizados Por úlcera Péptica]|
De Souza Coelho Neto J.
|Abstract:||The patients with peptic ulcer disease submitted to partial gastrectomy frequently complain of symptoms which are described as postgastrectomy syndrome, including dumping, diarrhea, delayed gastric emptying, alkaline reflux gastritis, nutritional disturbs, the afferent and efferent loop syndromes and Roux - en - Y stasis. This study consisted of verify the late symptoms of 108 patients submitted to partial gastrectomy for peptic ulcers. The data were obtained from the medical records, considering sex, age, ethnical group, alcoholism and smoking, site of the ulcers, surgical technique employed and late postoperative symptoms (four years or more). White male patients were the most number in this casuistic. The late symptoms were compared with the type of reconstruction. Thus, only 52,7% of the patients with gastric ulcers and submitted to Billroth I reconstruction were assymptomatic. By the other hand, only 60% and 49,6% of the patients with duodenal ulcers and submitted to Billroth I and II reconstruction, respectively, were assymptomatic. These results were compared with the literature and it were emphasized the recent aspects of the postgastrectomy syndrome physiopathology. The authors concluded that the frequency of late postoperative symptoms were very significant, therefore, the indication of the gastrectomy to treat patients with peptic ulcers must be reserved as an option when it was not possible the clinical control employing the modern drugs existing today.|
|Appears in Collections:||Unicamp - Artigos e Outros Documentos|
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