Long-term complication after the stomach operation --Backflow _'s general knowledge of incomplete gastritis of the bile

Long-term complication after the stomach operation --Backflow _'s general knowledge of incomplete gastritis of the bile
[Sum up ] It means the stomach excises the postoperative gastritis caused by losing pylorus and causing the backflow of bile that the stomach excises postoperative bile backflow incomplete gastritis. The liquid of backflow is presented alkalinely so also called after the stomach is excised alkaline backflow gastritis. Observe, indicate stomach excise postoperative chronic shallow table or chronic person who wither morbidity of gastritis reach 95% for a long time, among them the great majority may relate to backflow of bile. Type after the 2 type postoperative morbidity is higher than to finish. The morbidity of this disease for two reasons, first because of the sinus excision of stomach, have lost gastrin to the stimulus of cells of the wall, cause the incomplete stomach to wither; Second because of the backflow of bile, the acid of gallbladder destroys mucomembranous protective screen of the stomach, make the hydrogen ion ooze from the stomach, spread get mucous membrane and mucomembranous lower floor, release histamine, make mucomembranous the intersection of blood vessel and penetrating the intersection of and change, mucous membrane edema continuously, the proteolysis plum is released, cause the mucous membrane to produce inflammation, bleeds, rotten even ulcer finally. [Symptom and body disease ] 1.Exceed the stomach and excise in 2 years after the operation and happen; 2.The continuation of upper abdomen is burnt and ached behind burning aching or brestbone, aggravate after taking food, the clothes can't be relieved while making and tingling medicines; 3.Disgusting and vomiting, the vomit often has bile, vomit and often happen at the night, it is not the injection to present, symptom can't be relieved after vomiting, vomiting can lighten over time; 4.There can be upper digestive tract to bleed in some cases; 5.There can be anaemia, becomes thin, the glossitis, diarrhoea on later stage. [Diagnose the basis ] 1.There is the stomach that excises the history; 2.Have upper abdomen or burn, ache, take food, aggravate, make sour medicine can't relieve behind the brestbone; 3.There is vomiting of bile nature; 4.There are anaemia, becomes thin, the glossitis, diarrhoea on later stage. 5.The gastric juice was analyzed for achlorhydria or low, GI has not exported the button loop to obstruct and behave. Inner mirror can be seen bile, it flows into incomplete stomaches, incomplete stomaches to be mucous membrane yellow to dye instead, organize examining and can be seen stomach catarrh cell soaking or withering change alive. [Treat the principle ] 1.The diet is regulated; 2.Promote the stomach to empty, prevent the backflow of bile; 3.Neutralize the bile and deal with to the ill; 4.It is therapeutic to perform the operation if necessary. [Curative effect is appraised ] 1.Cure: Symptom disappear, can normal diet, inner mirror show incomplete the intersection of stomach and mucous membrane, return to normal; 2.Take a favorable turn: Symptom is lightened or basically disappeared, basically resume normal diet, it stills have inflammation at various degrees that exists that the inner mirror shows the mucous membrane of incomplete stomach. 3.Have not healed: Symptom has not been improved, the inner mirror points out incomplete stomach trouble to changes and has not changed. [The expert briefs on ] Disease this to excise, lose the intersection of pylorus and function and cause bile flow into incomplete stomach and form incomplete gastritis instead while being postoperative because of stomach. So, should consider erupting the possibility of a disease simultaneously before the skill and know operation indication and operation indication strictly. To gastritis already formed, try to prevent the backflow of bile especially. Medicine not used at present, first, suck, tell or neutralize bile, reduce, flow into incomplete bile of stomach to the mucomembranous damage instead already; Second, promote the incomplete stomach to empty, reduce the backflow of the bile as much as possible. The medicine about promoting the intestines and stomach to empty, have already replied and fits by the stomach of motive force medicine of the 1st generation of intestines and stomach at present, there is profit. Xisha must profit have motivator function better, the whole digestive tract power medicine, little in side effect,it replace stomach now basically it reply, fit, Lin Ding. This disease takes drug therapy as the core, the serious one can adopt Roux-en-y stomach jejunum anastomosis in order to prevent the alkaline intestines content thing from flowing into the stomach instead, but this operation has not been generally acknowledged as the precautionary measures yet.
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