[Nervous system changes in the dumping syndrome].
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Biomedical subjects
Publications and source records attributed to G A Bulgakov.
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Two clinical observations of primary carcinoma of the descending branch of the duodenum in men of 39 and 58 operated for this disease are described. Histologically the tumor was papillary adenocarcinoma. No metastases into regional lymph nodes or internal organs were found. In the patient of 39 the carcinoma of the duodenum was accompanied by papillomatous outgrowths in the opening of the pancreatic duct.
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The secondary postoperative duodenal stasis (afferent loop syndrome, chronic vicious circle) is underlain by evacuational disturbance of the duodenum. The duodenal stasis and hypertension lead to the stasis of the bile and pancreatic-secretion, which in turn results in inflammatory-dystrophic changes in the hepato-biliary-pancreatic system. In such cases the success of surgical treatment will derive from the application of complex intervention both on the digestive tract and hepato-biliary system.
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