Liver condition in pyloroduodenal ulcerative stenosis and its changes after vagotomy with drainage operations

Complex clinical and morphological study of the liver in 102 patients with pyloroduodenal stenosis of ulcerous etiology was carried out. Decrease in the level of total protein in blood serum and changes of sediment samples were observed only in extremely decompensated stenosis. Study of absorption, excretory function of hepatocytes using Bengal pink-labeled ¹³¹I test showed that in pyloroduodenal stenosis there was a tendency to slow down the processes of dye absorption by liver, in 66% of patients dye excretion was delayed. Rheographic studies revealed decreased hepatic arterial blood flow, apparently, caused by obstruction of portal blood inflow, as evidenced by increased pulse wave propagation time, decreased rheographic index value and changes of curve shape.