KEY ASPECTS OF PATHOGENESIS AND DIAGNOSTICS OF POSTGASTRECTOMY SYNDROME AND ITS COMBINED FORMS
The pathogenesis and aspects of clinical course of dumping syndrome after standard and combined total gastrectomy in 109 patients were presented. Of total there were 73 men and 36 women. The changes of the blood glucose level after glucose intake were studied in 42 patients with dumping syndrome. The results showed that sustained and severe symptoms of dumping were due to disorder of internal secretion of the pancreas. The concept was supported by the glycemia levels of the diabetic type. The diagnosis of dumping syndrome in patients after total gastrectomy has to be based on identification of the systemic and abdominal symptoms according to the scale proposed by H. Sigstad.