[Pyloroduodenal stenosis of ulcer origin. Apropos of 260 cases].
This study is about 260 cases of ulcerous pyloroduodenal stenosis operated on in 10 years among 1209 ulcers (21.5%). Males are by far dominating with a rate of 83.55%, the average of age was 45 years. 20% of our patients have presented a complication anterior or contemporary to the stenosis (perforation or hemorrhage). Clinical context is obvious and upper gastro intestinal series has made diagnosis in 92% of cases fibroscopy has been done in only 30.8% of cases. Surgical treatment has consisted in a troncular vagotomy in 252 cases. (98.2%), transduction de "dont" 34.5% of whom underwent a gastroduodenostomy 25.8%, gastrojejunostomy, 18.2% a pyloroplasty and in 21.4% an inferior polar gastrectomy. There were 3 fundic vagotomies (1.17%) associated to a gastro duodenostomy in 2 cases and to dilatation in one case e deplored 3 deaths related to surgery (1.1%) long follow up was marked by 3 ulcerous relapses and 2 stenosis.
Fadil
A
A
Service de Chirurgie Viscérale Aile 2, C.H.U. Ibnou Rochd, Casablanca, Maroc.
Moumen
M
M
Bellakhdar
A
A
el Fares
F
F
D000328:Adult; D004106:Dilatation / Q000379:methods; D004380:Duodenal Obstruction / Q000209:etiology* / Q000601:surgery; D005260:Female; D005743:Gastrectomy / Q000379:methods; D005763:Gastroenterostomy / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications*; D011707:Pyloric Stenosis / Q000209:etiology* / Q000601:surgery; D014628:Vagotomy / Q000379:methods
Les sténoses pyloro-duodénales d'origine ulcéreuse. A propos de 260 cas.