[Liver exocrine function in patients after gastrectomy for peptic ulcer]

Exosecretory liver function was studied in patients after gastric resection for peptic ulcer. Disorders of the biochemical composition of the bile were discovered; they were manifested by disproportional formation and secretion of the basic components of the bile: cholic acid, cholesterol and phospholipids, which led to the shift in the bile components ratio and could promote their precipitation. Moreover, the lowering of the content of the basic components of the bile is likely to bring about a substantial derangement of the processes of fat digestion. Dietetic management of these patients exerted a beneficial effect on cholic acid secretion. However, in some patients with grave postoperative syndromes and disturbances in the hepatobiliary system, no noticeable positive results were obtained. The latter circumstance allows the conclusion about the necessity of placing such patients on prolonged treatment including bile expelling agents.