[Surgical treatment of pyloric stenosis of ulcerous origin. Apropos of 68 cases].
The study turns about 68 cases of post ulcerous pyloric stenosis operated from 1970 to 1990, that means 8.5% of the duodenal ulcers (796 cases) operated during this period. The stenosis was entire or strangled in 27 cases (39.7%) with an important gastric dilatation in 34 cases (50%). The treatment has been composed of a gastroenterostomy (30 cases--44%), most of the time with a troncular vagotomy, of a pyloroplasty with vagotomy in 20 cases (29.5%) and of an inferior polar gastric resection in 18 cases (26.5%). The operative mortality was 2 cases (3%). The at distance-results (average follow-up of 7 years) show that 71% of the re-examined patients (45 cases) are classified Visick 1 or 2 and 9% visick 4. Ones concludes to the value of troncular vagotomy with gastroenterostomy which can be realised in all of the occasions and gives good functional results when the vagotomy with pyloroplasty seems to lie more frequently in state to uncertain functional results.
Meyer
C
C
Service de Chirurgie Générale et Digestive, CHU Hautepierre, Strasbourg.
Bachellier-Billot
C
C
Rohr
S
S
De Manzini
N
N
Leclercq
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D004381:Duodenal Ulcer / Q000150:complications / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D005763:Gastroenterostomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011707:Pyloric Stenosis / Q000209:etiology / Q000601:surgery*
Le traitement chirurigical de la sténose pylorique d'origine ulcéreuse. A propos de 68 cas.