Milk Intolerance after Gastrectomy

Pirk, F; Skála, I; Vulterinová, M

doi:10.1159/000197439

Cited by 4 publications

(1 citation statement)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…after gastrectomy [14], we may expect that lactose leads to a poorer absorption of Ca from the diet and moreover to a negative calcium balance. Steatorrhea existing in these subjects further deteriorates after lactose [15].…”

Section: Discussionmentioning

confidence: 99%

Calcium Absorption from Milk and Lactose-Free Milk in Healthy Subjects and Patients with Lactose Intolerance

1973

Self Cite

View full text Add to dashboard Cite

By means of isotope ⁴⁷Ca, changes in the rate and intensity of calcium absorption from lactose-free milk and normal milk were investigated as well as ⁴⁷Ca losses in faeces and urine and Ca retention in the organism during a 7-day period in healthy volunteers and in patients with lactose intolerance. The shape of ⁴⁷Ca absorption curves after lactose-free milk in healthy subjects is lower than after milk with a normal lactose content. Conversely, in subjects with lactose intolerance, the shape of the absorption curves of ⁴⁷Ca was lower after ingestion of normal milk and higher after ingestion of lactose-free milk. The total amount of absorbed and retained Ca practically does not differ, regardless whether Ca was administered in milk or lactose-free milk. No significant differences were found in the utilization of Ca in subjects with lactose intolerance. In these patients, the retardation of the peaks of the absorption curves after ingestion of milk most probably suggests a compensatory delay of gastric evacuation. The slower supply of chyme into the gut improves the utilization of Ca in spite of relative lactase insufficiency. Well-tolerated lactose-free milk could be used to ensure a sufficient dietary supply of Ca in subjects with lactose intolerance.

show abstract

Section: Discussionmentioning

confidence: 99%

Calcium Absorption from Milk and Lactose-Free Milk in Healthy Subjects and Patients with Lactose Intolerance

1973

Self Cite

View full text Add to dashboard Cite

show abstract

Nutritional Problems Following Gastric and Small-Bowel Surgery

Floch

1981

Nutrition and Diet Therapy in Gastrointestinal Disease

View full text Add to dashboard Cite

A Prospective Study of Parietal Cell Vagotomy and Selective Vagotomy-antrectomy for Treatment of Duodenal Ulcer

Jordan

1976

Annals of Surgery

View full text Add to dashboard Cite

A prospective, randomized, study involving 92 patients who required elective operation for treatment of duodenal ulcer was performed to compare the results of Parietal Cell Vagotomy (PCV) and selective vagotomy-antrectomy Billroth I (SV-A-BI). The protocol was broken twice. One patient was unable to undergo PCV because of pyloric stenosis and one patients underwent Billroth II anastomosis instead of Billroth I because of post-bulbar stenosis. Performance of PCV was never aborted because a patient was obese. There were no deaths. Diarrhea, dumping and other gastric complaints were less frequent after PCV than after SV-A-BI for all time periods studies up to two years. Two months after operation, the Hollander tests were negative in 59% of patients after PCV and in 100% after SV-ABI. Inhibition of Bao and MAO were also significantly less after PCV than after SV-A-BI. Since vagotomy of the parietal cell mass was identical in both groups of patients it was concluded that the differences in the secretory rates and the fewer negative Hollander tests in the PCV group than in the SV-A-BI group were due to retention of the antrum irrespective of its innervation. There was no explanation for the gradual increase in the BAO in the PCV group. One recurrent ulcer occurred in the PCV group in a patient who overindulged in alcohol and aspirin. After 4 days of medical management, this superficial ulcer healed as demonstrated by endoscopy. There were no recurrent ulcers after SV-A-BI. As a result of this study, it is concluded that PCV is superior to SV-A-BI because of the lower frequency of postoperative complications, diarrhea, dumping and other symptoms associated with gastric surgery. PCV may be the operation of choice for the elective treatment of duodenal ulcer; however, it remains undetermined whether the recurrent ulcer rate following PCV will be sufficiently low that the procedure can retain a position of superiority over SV-A-BI.

show abstract

Milk Intolerance after Gastrectomy

Cited by 4 publications

References 6 publications

Calcium Absorption from Milk and Lactose-Free Milk in Healthy Subjects and Patients with Lactose Intolerance

Calcium Absorption from Milk and Lactose-Free Milk in Healthy Subjects and Patients with Lactose Intolerance

Nutritional Problems Following Gastric and Small-Bowel Surgery

A Prospective Study of Parietal Cell Vagotomy and Selective Vagotomy-antrectomy for Treatment of Duodenal Ulcer

Contact Info

Product

Resources

About