Open AccessLiver condition in pyloroduodenal ulcerative stenosis and its changes after vagotomy with drainage operations
Author(s) -
А. Н. Волков,
Н. А. Мизуров,
Svyatoslav S. Sokolov
Publication year - 1987
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17816/kazmj96016
Subject(s) - stenosis , medicine , blood flow , liver function , excretory system , gastroenterology , excretion , liver function tests , rose bengal , cardiology , endocrinology , surgery , chemistry , organic chemistry
Complex clinical and morphological study of the liver in 102 patients with pyloroduodenal stenosis of ulcerous etiology was carried out. Decrease in the level of total protein in blood serum and changes of sediment samples were observed only in extremely decompensated stenosis. Study of absorption, excretory function of hepatocytes using Bengal pink-labeled131I test showed that in pyloroduodenal stenosis there was a tendency to slow down the processes of dye absorption by liver, in 66% of patients dye excretion was delayed. Rheographic studies revealed decreased hepatic arterial blood flow, apparently, caused by obstruction of portal blood inflow, as evidenced by increased pulse wave propagation time, decreased rheographic index value and changes of curve shape.