[Gastric resection and the hepatobiliary tract]

With the aim to evaluate the influence of gastric resection on the morphological and functional conditions of the liver and the eventual appearance of gallstones, 50 randomized patients with a resection of the stomach were clinically analysed at different period of time, together with 50 patients suffering from peptic ulcer. All patients underwent a liver biopsy, 26% of the patients with gastric resection and 20% of the patients with peptic ulcer showed pathological findings of the liver, which statistically is not a significant difference. The most frequent pathologic change in both groups was a persistent hepatitis, while gallstones rarely occurred. Further, a presence in the past of viral hepatitis and alcoholism in both groups has been analysed as possible factors for the mentioned changes in the liver. Hbs Antigen detection has also been drawn as important. People with gastric resection belong to the jeopardized groups of the population with a great risk-factor related to previous frequent blood transfusion and other medical procedures. Patients who underwent a gastric resection, were analysed for the influence of the time period, following operation, on proved lesions of the liver, which were also observed in relation to dumping syndrome, malnutrition and other postresection syndromes. The authors point out the importance of making an early detection of the lesions of the liver, during surgery, with the aim to prevent the development of severe chronic inflammation.