title: [Treatment of complicated retroampullar duodenal ulcers].
abstract: Of the 450 patients with complicated duodenal ulcer disease, in 23 (5.8%) the ulcer was located distally to the duodenal ampulla. On the basis of studying the results of surgical treatment, a conclusion is made, that the selective proximal vagotomy in combination with the ulcer excision and duodenoplasty is an operation of choice in complicated retroampullary ulcers. The operative interventions correcting the disturbances in the duodenal patency in preserved function of the pyloric sphincter contribute to prevention of duodenogastric reflux and alkaline reflux-gastritis.
authors.forename: V V
authors.initials: VV
authors.lastname: Khabarov
authors.forename: Ia V
authors.initials: IaV
authors.lastname: Goer
authors.forename: N I
authors.initials: NI
authors.lastname: Tutchenko
authors.forename: A V
authors.initials: AV
authors.lastname: Solomko
mesh_terms: D000328:Adult; D004381:Duodenal Ulcer / Q000150:complications / Q000473:pathology / Q000601:surgery*; D004383:Duodenogastric Reflux / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery*; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D014629:Vagotomy, Proximal Gastric / Q000379:methods
vernacular_title: Lechenie oslozhnennykh zaampul'nykh iazv dvenadtsatiperstnoĭ kishki.