title: [Incompetence of duodenal stump sutures after stomach resection in ulcer disease].
abstract: Among 356 gastric resections of the Billroth 11 type performed for ulcerous disease there were 11 cases of suture incompetency of the duodenal stump (3.1%). This complication was mainly caused by technical difficulties arising in operations under complicated anatomical conditions and tactical errors of a surgeon in selection of the technic of the stump suturing. The treatment of the duodenal stump suture incompetency consisted in urgent relaparotomy with a tramponade and drainage at the site of incompetency and application of a complex of conservative measures. During the first days after relaparotomy a drainage is connected into a pump-aspirator. In case of complicated duodenal ulcers resection with the aim of "ulcer exclusion" seems to be rational.
mesh_terms: D004386:Duodenum / Q000601:surgery*; D005743:Gastrectomy; D006801:Humans; D010437:Peptic Ulcer / Q000601:surgery*; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000517:prevention & control; D013536:Suture Techniques; D013537:Sutures
vernacular_title: Nesostoiatel'nost' shvov kul'ty dvenadtsatiperstnoĭ kishki posle rezektsii zheludka po povodu iazvennoĭ bolezni