<原著>胃切除後における迷走神経のグルカゴン分泌におよぼす影響について

概要

論文の詳細を見る
The effects of gastrectomy and vagotomy on pancreatic glucagon release were investigated clinically. Subjects were twenty men and eight women ranged 28 to 69 years old, who had undergone gastrectomy and vagotomy and they were divided into four groups : 1) In patients with gastroduodenal ulcer, distal gastrectomy was performed by the Billroth I method, preserving the hepatoduodenal branch. (n=7) 2) In patients with gastroduodenal ulcer, distal gastrectomy was performed by the Billroth II method, preserving the hepatoduodenal branch. (n=7) 3) In patients with gastric carcinoma, subtotal gastrectomy was performed by the Billroth I method. Lymphadenectomy required section of the hepatoduodenal branch. (n=7) 4) In patients with gastric carcinoma, subtotal gastrectomy was performed by the Billroth II method. Lymphadenectomy rectuired section of the herpatoduodenal branch. (n=7) Oral glucose tolerance tests were conducted on ten preoperative patients and 28 gastrectomized and vagotomized patients. In the preoperative patients and in those following gastrectomy by the Billroth I method with preservation of the hepatoduodenal branch, oral glucose (50 g) suppressed pancreatic glucagon release, but in the other groups, pancreatic glucagon levels showed marked increases.
近畿大学の論文
1980-09-25