INFLUENCE OF PARTIAL AND TOTAL GASTRECTOM Y ON PLASMA CHOLECYSTOKININAND NEUROTENSIN AND ON THE EXOCRINE PANCREATIC FUNCTION

In a follow up study 19 patients after Billroth-I-, 22 patients after Billroth-II-resection and 38 patients after total gastrectomy (23 with Roux-Y-reconstruction and 15 with Longmire-Gutgemann) underwent a sto ol fat determination and an indirect pancreatic function test with flu orescein dilaurate in serum und urine. In 9 of 19 cases (47,3%) after B-I-resection and 14 of 22 patients (63,5 %) after B-LI-resection ther e were pathological results of the PLT-test in urine. After total gast rectomy as well with reconstruction of the duodenal passage as with it s exclusion the PLT-test results were pathological in 60% resp. 87%. T hese results indicate a secondary pancreatic insufficiency following g astric resection.