Khirurgiia · 2003
[Surgical treatment of gastric and duodenal ulcer disease with chronic duodenal obstruction].
Аннотация на английскомСтатьяНазвание и аннотация: Оригинал на русском
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Zherlov G K, Koshel' A P, Pomytkin A V, Rudaia N S, Keĭian S V, Sin'ko S P, Nustafaev R S
Аннотация
One hundred and twenty-nine surgeries were performed from 1990 to 2001 for gastric (50) or duodenal (79) ulcers with chronic duodenal obstruction. Resection of 1/2 of the stomach by Bilrot-I was performed in 118 patients, pylorus-saving resection with creation of areflux valve in duodenal bulb--in 5, selective proximal vagotomy with duodenoplasty--in 6 patients. In early postoperative period complications were seen in 10 (10.9%) patients, postoperative lethality was 0.8% (one patient died). There was no insufficiency of anastomotic sutures. Postoperative stay was 11.3 +/- 1.5 days. In remote period after surgery symptoms of chronic pancreatitis was in 2.3% patients, but there were no symptoms of duodenostasis. Roentgenological symptoms of compensated duodenal obstruction were seen in 2 patients operative on for decompensated duodenostasis. These patients had no complaints.