食餌摂取が循環血漿量に及ぼす影響について とくにダンピング症候群を中心として
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概要
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Recently, more attention has been paid to postgastrectomy syndrome, especially to the Dumping syndrome, due to increasing gastrectomy for gastric or duodenal diseases.<BR>The author studied the changes of circulating plasma volume following test meal feeding in the gastrectomized patients. Also correlation study was made between the changes of plasma volume and complaint after gastrectomy and/or the rapidity of the passage through anastomosis by X-ray examination.<BR>The change of circulating plasma volume following the test meal feeding was determined by the modified methode of Gray and Frank, using radioactive Chromic Chloride <SUP>51</SUP>CrCl<SUB>3</SUB>. The methode was proved to be correct after study with 5 normal men.<BR>Subjects for this study were as follows:<BR>Group A; twenty-six patients, who had no surgery, with gastric or duodenal diseases.<BR>Group B; one-hundred and seven, who had gastrectomy, without Dumping syndrome.<BR>Group C; forty-three with post plandial symptoms (Dumping syndrome) .<BR>It was demonstrated that the decrease of circulating plasma volume after the test meal feeding was the most severe in group C and the lowest value was obteined 30 minutes after the feeding. However, no relationship between the decrease of the plasma volume and the rapidity of the passage through anastomosis by X-ray was established.<BR>Through study was done in 43 dumpers (group C) in relation to their decreasing value of circulating plasma after the feeding.<BR>Three symptoms, (fatigue, sweating, and hot feeling) were proved not to be related with the change of plasma volume. On the other hand, the other symptoms, such as dyspnea, nausea, palpitation, dizziness etc. after the feeding were found to be the result due to the changes of plasma volume.
- 学校法人 昭和大学・昭和医学会の論文