Obstructing pyloroduodenal ulcers and their management.
We have analyzed 196 cases of pyloroduodenal obstruction due to peptic ulcer disease. Obstruction occurred in 19% of peptic ulcer patients. Males predominated five to one over females. Diagnosis could usually be made on clinical grounds alone. Air contrast x-ray studies were better than conventional barium meal x-rays and are recommended. Symptoms were relieved with conservative treatment alone in 17% of patients. We suggest that such therapy should take the form of preoperative preparation and that the period between diagnosis of obstruction and surgery should be kept to a minimum. Gastrojejunostomy for drainage was the procedure of choice. Postvagotomy gastric atony was very infrequent.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005763:Gastroenterostomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications*; D011707:Pyloric Stenosis / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D014628:Vagotomy