EXTRACELLULAR-SPACE, BLOOD-VOLUME, AND THE EARLY DUMPING SYNDROME AFTER TOTAL GASTRECTOMY

被引：12

作者：

MIHOLIC, J

REILMANN, L

MEYER, HJ

KORBER, H

KOTZERKE, J

HECKER, H

机构：

[1] KLIN ABDOMINAL & TRANSPLANTAT CHIRURG,NUKL MED & BIOPHYS ABT,HANOVER,GERMANY

[2] HANOVER MED SCH,MAX PLANCK INST BIOMETRIE,W-3000 HANOVER 61,GERMANY

来源：

GASTROENTEROLOGY | 1990年 / 99卷 / 04期

关键词：

D O I：

10.1016/0016-5085(90)90608-4

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Extracellular space and blood volume were measured using 82Br dilution and 51Cr-tagged erythrocytes in 24 tumor-free patients after total gastrectomy. Eleven of the patients suffered from early dumping. Age, blood volume, and extracellular space were significantly smaller in dumpers (P < 0.05). The dumping score could be predicted by a multiple regression model considering blood volume per lean body mass and extracellular space (r = 0.637; P = 0.0039). Rapid (t 1 2 < 360 seconds) emptying of the gastric substitute, assessed using a 99Tc-labeled solid test meal, was significantly associated with dumping in addition to extracellular space and blood volume (r = 0.876; P = 0.0018). Both rapid emptying and a narrow extracellular space seem to contribute to the early dumping syndrome. © 1990.

引用

页码：923 / 929

页数：7