ENZYME TREATMENT AFTER GASTROINTESTINAL SURGERY

被引:15
作者
FRIESS, H [1 ]
BOHM, J [1 ]
EBERT, M [1 ]
BUCHLER, M [1 ]
机构
[1] UNIV ULM,DEPT GEN SURG,STEINHOVELSTR 9,D-89070 ULM,GERMANY
关键词
PANCREATIC SURGERY; GASTRIC SURGERY; ENZYME TREATMENT; EXOCRINE PANCREATIC INSUFFICIENCY; MALDIGESTION;
D O I
10.1159/000201104
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
After gastrointestinal surgery, patients often suffer from maldigestion. The extent of this maldigestion syndrome depends on the type of surgical procedure performed. After total pancreatectomy, subtotal left resection, resection for chronic pancreatitis, Whipple operation with ductal occlusion, and total gastrectomy, patients need obligatory enzyme treatment. After partial pancreatectomy without duct occlusion or partial gastrectomy, enzyme treatment should be initiated when exocrine pancreatic insufficiency occurs.
引用
收藏
页码:48 / 53
页数:6
相关论文
共 22 条
[1]  
ALVAREZ C, 1991, PANCREAS, V6, P76
[2]  
ANDRENSANDBERG A, 1991, PANCREATIC ENZYMES H, P139
[3]   NUTRIENT MALASSIMILATION AFTER TOTAL GASTRECTOMY AND POSSIBLE INTERVENTION [J].
ARMBRECHT, U ;
LUNDELL, L ;
STOCKBRUEGGER, RW .
DIGESTION, 1987, 37 :56-60
[4]   DUODENUM-PRESERVING RESECTION OF THE HEAD OF THE PANCREAS IN CHRONIC-PANCREATITIS WITH INFLAMMATORY MASS IN THE HEAD [J].
BEGER, HG ;
BUCHLER, M .
WORLD JOURNAL OF SURGERY, 1990, 14 (01) :83-87
[5]   POSTOPERATIVE MANAGEMENT OF PATIENTS WITH TOTAL EXOCRINE PANCREATIC INSUFFICIENCY [J].
BRAGA, M ;
ZERBI, A ;
DALCIN, S ;
DEFRANCHIS, R ;
MALESCI, A ;
DICARLO, V .
BRITISH JOURNAL OF SURGERY, 1990, 77 (06) :669-672
[6]  
Braga M, 1989, Int J Pancreatol, V5 Suppl, P37
[7]  
BUCHLER M, 1988, NUTRITION, V4, P314
[8]  
BUCHLER M, 1990, CHRONIC PANCREATITIS, P41
[9]   RELATIONS BETWEEN PANCREATIC ENZYME OUTPUTS AND MALABSORPTION IN SEVERE PANCREATIC INSUFFICIENCY [J].
DIMAGNO, EP ;
GO, VLW ;
SUMMERSKILL, WH .
NEW ENGLAND JOURNAL OF MEDICINE, 1973, 288 (16) :813-815
[10]   CONTROVERSIES IN THE TREATMENT OF EXOCRINE PANCREATIC INSUFFICIENCY [J].
DIMAGNO, EP .
DIGESTIVE DISEASES AND SCIENCES, 1982, 27 (06) :481-484