title: [Treatment of "difficult" duodenal stump].
abstract: The Plenk method in the author's modification was successfully applied in resection of the stomach "for exclusion" in 22 patients. When there was a threatening incompetence of the duodenal stump sutures, to prevent generalization of peritonitis the stump in 24 patients was covered with a "hood" of the greater omentum and external drainage of this space was installed; the procedure was an alternative of duodenostomy. Incompetence occurred in 3 cases with subsequent recovery. In resection of the stomach for recurrent ulcer after previous vagotomy combined with gastroduodenostomy after Jaboulay, the defects in the duodenal wall were closed with a demucosed antral-pyloric gastric segment after the author's method. The operation was conducted on 4 patients.
authors.forename: N N
authors.initials: NN
authors.lastname: Volobuev
mesh_terms: D004381:Duodenal Ulcer / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011706:Pyloric Antrum / Q000601:surgery; D011708:Pylorus / Q000601:surgery; D012008:Recurrence; D013270:Stomach / Q000601:surgery; D014628:Vagotomy
vernacular_title: Obrabotka "trudnoĭ" kul'ti dvenadtsatiperstnoĭ kishki.