Page 159 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)

A. Disorders After Stomach Surgery

Unselective

Billroth I Selective Surgery
operation
Gastrectomy
Billroth II Stomach
operation Vagotomy (VT)
Replacement stomach Gastric resection
Disorders After
Gastric Accommod- Preparation Pancreatic Gastric
volume ation reflex Emptying of chyme secretion secretion

Sugar Volume Hypertonic Nutrients Meat
chyme
II
Wall Glucose Intestinal Water Digestion Fe absorption
distension absorption distension secretion moved Plate 6.8
distally
II
Fe salts
Hypo- Dilution of Heme-Fe
volemia enzymes and availability
bile salts
Hyper- Vasomotor Diarrhea
glycemia reactions

Premature Fat absorption IF
Reactive satiety deficiency
hypo-
glycemia
Fe deficiency
Food Cobalamine
intake Vitamin D deficiency deficiency
30–60min after meal
Ca 2+
Vomiting, Flushing,
pain tachycardia
Early dumping syndrome
90–180 min after meal:
clouding of consciousness Weight loss Osteomalacia Anemia
Late dumping syndrome 149

Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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