Abstract
Nutritional problems which develop in patients following total gastrectomy are of sufficient severity and occur frequently enough to warrant detailed investigations of operative procedures which may obviate these symptoms. It is well documented that construction of a substitute gastric reservoir is of greatest importance in the attempt to relieve certain undesirable effects of total gastrectomy. However, there are only a few studies concerning the significance of the maintenance of the route of ingested foodstuff through the duodenum in contrast to bypassing this juncture. This is all the more astonishing as the mucosa of the duodenum is able to secrete several hormones which have an essential effect on the exocrine and endocrine pancreatic functions [9, 1].
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© 1979 Springer-Verlag Berlin Heidelberg
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Bittner, R., Beger, H.G. (1979). Significance of the Duodenum for Carbohydrate Metabolism in Patients After Total Gastrectomy. In: Herfarth, C.H., Schlag, P.M. (eds) Gastric Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67368-9_35
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DOI: https://doi.org/10.1007/978-3-642-67368-9_35
Publisher Name: Springer, Berlin, Heidelberg
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