title: [Early diagnosis and treatment of a pyloroduodenal ulcer complicated by stenosis of gastric outlet].
abstract: Treated were 193 patients with pyloroduodenal ulcer complicated by stenosis of gastric outlet. Compensated stenosis was noted in 14 (7.2%) patients, subcompensated--in 147 (76.2%), decompensated--in 30 (15.5%), gastric tetany--in 2 (1.04%). Studied were the immunologic indices, peripheric blood flow by means of a roentgenologic method under conditions of double contrasting and artificial hypotony, gastric and duodenal function, bioelectric activity--by the method of duodenokinesiography. Gastric resection was performed in 87 patients, vagotomy with drainage operation and without it--in 82, gastroenterostomy--in 14, antrum resection with vagotomy--in 12, Roux resection of the stomach--in 2. The postoperative lethality was 1%. Good and excellent results after gastric resection were noted in 82.1%, after vagotomy--in 88.4% of the patients.
authors.forename: V I
authors.initials: VI
authors.lastname: Mamchich
authors.forename: V A
authors.initials: VA
authors.lastname: Shuliarenko
authors.forename: Z Z
authors.initials: ZZ
authors.lastname: Paratsii
authors.forename: I A
authors.initials: IA
authors.lastname: Babin
authors.forename: N N
authors.initials: NN
authors.lastname: Gvozdiak
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000175:diagnosis* / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality; D011707:Pyloric Stenosis / Q000175:diagnosis* / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods
vernacular_title: Ranniaia diagnostika i lechenie piloroduodenalńoi iazvy, oslozhnennoi stenozom vykhoda iz zheludka.