[The quantitative assessment of duodenogastric reflux following operations for perforated duodenal ulcers]. 1990

L Karageorgiev, and D Radev, and B Nikov

Sixty patients operated for perforated duodenal ulcer were examined for the presence of duodenogastric reflux by quantitative estimation of bilirubin in gastric aspirate for a period of 3 to 6 months after the operation. Twenty healthy subjects served as controls. The operated patients were divided in three groups depending on the type of operation: simple suturing, truncus vagotomy with pyloroplasty according to Heinicke-Mikulicz technique and proximal selective vagotomy with rrhaphy (20 patients in each group). It was shown that duodenogastric reflux following proximal selective vagotomy with rrhaphy was almost as common as in the control group. Peak levels of gastric bilirubin were found after truncus vagotomy with pyloroplasty (2.01 +/- 0.51 mmol/l). A practicable method of examination of bilirubin in gastric juice, which can gain acceptance in every hospital laboratory, is suggested.

UI MeSH Term Description Entries
D010439 Peptic Ulcer Perforation Penetration of a PEPTIC ULCER through the wall of DUODENUM or STOMACH allowing the leakage of luminal contents into the PERITONEAL CAVITY. Peptic Ulcer Perforations,Perforation, Peptic Ulcer,Perforations, Peptic Ulcer,Ulcer Perforation, Peptic,Ulcer Perforations, Peptic
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D004381 Duodenal Ulcer A PEPTIC ULCER located in the DUODENUM. Curling's Ulcer,Curling Ulcer,Curlings Ulcer,Duodenal Ulcers,Ulcer, Curling,Ulcer, Duodenal,Ulcers, Duodenal
D004383 Duodenogastric Reflux Retrograde flow of duodenal contents (BILE ACIDS; PANCREATIC JUICE) into the STOMACH. Duodenal Reflux,Duodeno-Gastric Reflux,Duodenal Refluxs,Duodeno Gastric Reflux,Reflux, Duodenal,Reflux, Duodeno-Gastric,Reflux, Duodenogastric
D005750 Gastric Juice The liquid secretion of the stomach mucosa consisting of hydrochloric acid (GASTRIC ACID); PEPSINOGENS; INTRINSIC FACTOR; GASTRIN; MUCUS; and the bicarbonate ion (BICARBONATES). (From Best & Taylor's Physiological Basis of Medical Practice, 12th ed, p651) Gastric Juices,Juice, Gastric,Juices, Gastric
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001663 Bilirubin A bile pigment that is a degradation product of HEME. Bilirubin IX alpha,Bilirubin, (15E)-Isomer,Bilirubin, (4E)-Isomer,Bilirubin, (4E,15E)-Isomer,Bilirubin, Calcium Salt,Bilirubin, Disodium Salt,Bilirubin, Monosodium Salt,Calcium Bilirubinate,Hematoidin,delta-Bilirubin,Bilirubinate, Calcium,Calcium Salt Bilirubin,Disodium Salt Bilirubin,Monosodium Salt Bilirubin,Salt Bilirubin, Calcium,delta Bilirubin

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