噴門癌に於ける膵脾合併切除術前後の蛋白代謝の研究
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概要
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When the protein metabolism in cases of gastrectomy combined with pancreastail resection and splenectomy is compared with its metabolism in the cases of simple gastrectomy or inoperable cases, a conclusion may be given as follows. 1) Most patients of cardiac cancer are impaired in state of nourishment and are in hypoproteinemic condition at the time of admission into hospital. It is because of lack of nutrition due to the passage disturbances caused by cancer. I consider that the ratio of A/G can be one of adequate standards which indicate hypoproteinemia in the protein picture of blood. 2) With regard to protein metabolism, the pre-operative preparations can hardly bring about good results, when the passage disturbances are severe, but can improve the alimentary conditions, when the disturbance are slight. 3) The quantity of nitrogen excreted in urin is considerably large soon after the operation, and then the nitrogen balance is negative in about ten days or two weeks after the operation, but it becomes positive after three weeks. The ratio of A/G begins to ascend after three weeks, and the accumulation of protein appears. 4) Afterwards, abut the protein metabolism, I cannot observe anything unusual, unless relapse of cancer occurs. 5) Compared with the control cases of simple gastrectomy, I can ascertain no great differences in the results of the various examinations, i.e. gastrectomy combined with pancreastail resection has no special influences upon the protein metabolism. 6) Judging from the above-mentioned results, I have proved in the point of view of protein metabolism, that gastrectomy combined with pancreastail resection was adapted for the conditions which could re-establish organic functions.
- 千葉大学の論文
- 1957-01-28
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関連論文
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