ABSTRACT
131 patients operated on for gastric ulcer according to Gillroth II were investigated with gastroscopy and biopsy. The histology of the gastric mucosa was correlated with the time elapsed since resection. In most cases gastritis shows no difference between anastomosis and stump. In up to 12% gastritis in the stump was more pronounced that at the anastomosis. In the stump any form of gastritis can be seen even more than 20 years afer resection. Atrophic changes are more often to be found in the resected stomach and develop more rapidly than in the normal stomach. They probably result from the coincidence of the lost protective function of the mucous membrane after resection of the gastrin-producing antrum with the potentially damaging action of the contents of small intestine.
Subject(s)
Gastric Mucosa/pathology , Postgastrectomy Syndromes/pathology , Gastric Juice/metabolism , Gastrins/metabolism , Gastritis/etiology , Humans , Stomach Ulcer/surgery , TimeSubject(s)
Bile , Gastritis/diagnosis , Biliary Tract Diseases/complications , Diagnosis, Differential , HumansABSTRACT
Case reports are given of 4 patients suffering from gastric neurinoma. Signs, symptoms and clinical findings are unrevealing. X-ray examination and gastroscopy may help to make a diagnosis, surgery however is necessary to establish a diagnosis definitely. Surgery is indicated in addition, since neurinoma may become malignant. Prognosis is good, recurrence is unusual.
