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Abstracts |

Studies of the Mechanism of Postgastrectomy Steatorrhea.

C. W. Wirts, M.D., F.A.C.P.; and F. Goldstein, M.D. (Assoc.)
Ann Intern Med. 1962;56(4):681. doi:10.7326/0003-4819-56-4-681_3
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Previous studies by the authors and others have suggested an analogy between postgastrectomy steatorrhea and the malabsorption associated with the blind loop syndrome. In 40 postgastrectomy patients studied to date, the authors found a statistically significant correlation between the bacterial counts in aspirated afferent loop fluid and the fecal excretion of fat and labeled triolein. The administration to patients with postgastrectomy steatorrhea of antibiotics selected on the basis of established sensitivities of bacteria that have been cultured led to temporary improvement in fat absorption, weight gain, and return of afferent loop bacterial flora to control levels. Surgical correction of faultily




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