RESUMO
Primary chronic gastroduodenitis (PCGD) accounts for 60-85% of the diseases of the gastroduodenal zone. In our study 90 patients with PCGD were divided into three groups getting one of the following therapies: electric sleep, hofitol, electric sleep plus hofitol. The effects of the treatments were assessed with updated techniques including computed pH-metry. Hofitol showed a good effect on dyspepsia, enhanced the alkalizing ability of the duodenal bulb. Electric sleep relieved pain and asthenoneurotic syndromes, decreased high acidity of the gastric juice in the body of the stomach. Electric sleep in combination with hofitol normalized macroscopic picture of the upper gastrointestinal tract and corrected imbalanced immunity.
Assuntos
Duodenite/terapia , Terapia por Estimulação Elétrica/métodos , Gastrite/terapia , Sono , Adolescente , Adulto , Doença Crônica , Terapia Combinada , Duodenite/complicações , Duodenite/patologia , Refluxo Duodenogástrico/etiologia , Refluxo Duodenogástrico/patologia , Refluxo Duodenogástrico/terapia , Endoscopia do Sistema Digestório , Feminino , Determinação da Acidez Gástrica , Gastrite/complicações , Gastrite/patologia , Humanos , Concentração de Íons de Hidrogênio , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Processamento de Sinais Assistido por Computador , Resultado do TratamentoAssuntos
Úlcera Duodenal/terapia , Refluxo Duodenogástrico/terapia , Magnetismo/uso terapêutico , Úlcera Gástrica/terapia , Adolescente , Adulto , Doença Crônica , Quimioterapia Combinada , Úlcera Duodenal/etiologia , Refluxo Duodenogástrico/complicações , Estudos de Avaliação como Assunto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Gástrica/etiologiaRESUMO
Postoperative reflux gastritis in persons who were operated on for peptic ulcer occurs much more frequently after resection of the stomach (68.6%) than after organ-preserving operations on the stomach (39.4%). The incidence of reflux gastritis after gastric resection depends on the type of gastroenteroanastomosis. It is encountered much less frequently after Roux' operation (9.2%). The pronounced character and frequency of reflux gastritis after organ-preserving operations on the stomach are determined by the type of stomach-draining operations, the localization of the ulcer before the operation, whether in the stomach or the duodenum, the existence of duodenogastric reflux (DGR) before the operation. Measures for the prevention of postoperative reflux gastritis in the management of peptic ulcer are as follows: (a) wide introduction of organ-preserving operations, preferably SPV by itself or in combination with duodenoplasty; (b) formation of Roux' gastroenteroanastomosis when resection of the stomach is indicated. Reflux gastritis must be treated by nonoperative methods, including medicinal, dietetic, and spa therapy. Surgery is indicated in reflux gastritis combined with other diseases of a stomach which had been operated on, for which an operation is necessary, and in occasional cases of erosive reflux gastritis.
Assuntos
Refluxo Duodenogástrico , Gastrite , Úlcera Péptica/cirurgia , Complicações Pós-Operatórias , Hidróxido de Alumínio/uso terapêutico , Anastomose em-Y de Roux , Antiácidos/uso terapêutico , Balneologia , Benzocaína/uso terapêutico , Terapia Combinada , Combinação de Medicamentos , Refluxo Duodenogástrico/diagnóstico , Refluxo Duodenogástrico/epidemiologia , Refluxo Duodenogástrico/etiologia , Refluxo Duodenogástrico/terapia , Duodeno/cirurgia , Gastrectomia , Gastrite/diagnóstico , Gastrite/epidemiologia , Gastrite/etiologia , Gastrite/terapia , Gastroenterostomia , Humanos , Iminoácidos , Incidência , Hidróxido de Magnésio/uso terapêutico , Metoclopramida/uso terapêutico , Compostos de Organotecnécio , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/terapia , Estômago/cirurgia , Lidofenina Tecnécio Tc 99m , Vagotomia Gástrica ProximalRESUMO
The author studied the secretory and motor-emptying function and the endoscopic picture of the stomach after various types of vagotomy conducted for peptic ulcer in 84 patients. The effect of the motor-evacuative function on the secretion values is shown. It is pointed out that secretion must be studied after restoration of adequate motor-emptying function, which is normalized 3-6 months after the operation. The endoscopic picture of the stomach depends on the type of the auxiliary operation on the stomach and the lapse of time after the operation, and the existence of reflux. The author suggests a differentiated complex of rehabilitation therapy including endogenous intracavitary pneumomassage of the stomach, its percutaneous electrostimulation, and the intake of mildly-mineralized water; early application of these measures raises the efficacy of the surgical treatment.
Assuntos
Refluxo Duodenogástrico/terapia , Ácido Gástrico/metabolismo , Esvaziamento Gástrico/fisiologia , Mucosa Gástrica/metabolismo , Úlcera Péptica/cirurgia , Complicações Pós-Operatórias/terapia , Vagotomia/efeitos adversos , Adulto , Terapia Combinada , Refluxo Duodenogástrico/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Péptica/fisiopatologia , Complicações Pós-Operatórias/etiologia , Vagotomia/métodosRESUMO
Drug and spa conservative treatment of postvagotomy aftereffects has been reviewed. The analysis covers the use of enzymes, cholinergic blocking agents, cyproheptadine hydrochloride, amitriptyline hydrochloride, L-Dopa, diphenoxylic acids and opioids in dumping syndrome; benzohexonium and metoclopramide in gastrostasis; diphenoacids and opioids in postvagotomy diarrhea. Oral and external use of mineral water and mud applications proved most beneficial spa treatment modalities.