[Selective proximal vagotomy in combination of transverse gastroduodenoanastomosis for the treatment of ulcer pyloroduodenal stenosis].

Results of proximal vagotomy in combination of transverse gastroduodenoanastomosis (GDA) at 36 patients with sub- and decompensated ulcer pyloroduodenal stenosis are analyzed. The principles of surgical method choice depending on stenosis localization and motor-evacuatory function of stomach are discussed. Obtained results are compared with ones after selective proximal vagotomy with longitudinal GDA by Jaboule and pyloroplasty by Finney. Clinical, radiological, endoscopic and morphological data demonstrate the advantages of transverse GDA compared with longitudinal GDA and pyloroplasty.