[Surgery of XXXX ].

@entity1 @entity5 @entity1066 @entity7581 @entity8579 @entity348 @entity8243 @entity298
Two personal cases of @entity8579 ( @entity8579 ) are described. @entity348 ( @entity348 ) was performed in the first case as an emergency measure, following acute @entity298 caused by a recurrence of @entity1066 , with perforation 27 days after the first gastric resection. The @entity1 is in good health, though with persistently high blood @entity8243 levels. The second case was marked by a long history of recurrent @entity1066 , with two earlier gastric resections. Here, success was obtained by simply enucleating a small @entity7581 from the head of the pancreas in view of the arteriographic evidence. The @entity1 is in excellent health 2 1/2 yr after surgery with stable, normal blood @entity8243 . The recent literature and these cases suggest that surgery is the method of choice for @entity8579 , its primary aim being the @entity7581 , since these prove malignant in 60-100% of cases, and @entity348 does not in any way inhibit their growth, as was once supposed. Blood @entity8243 values permit early diagnosis and postoperative monitoring, while arteriography and transhepatic portal catheterisation constitute a useful guide to the location of the @entity5 . Hyperchlorhydria can be effectively controlled with H2 receptor inhibitors, both in the preoperative diagnostic stage, and after surgery in the event of failure. @entity348 offers the best results in over 60% of cases, when the @entity5 is multifocal, widely metastasised, or undiscoverable.
