title: [Characteristics of diagnosis and surgical treatment of giant gastroduodenal ulcers].
abstract: Out of 1364 patients operated on in the Central Research Institute for Gastroenterology for ulcer, 130 (9.53%) appeared to have giant gastroduodenal lesions. The latter were gastric in 59 patients (more than 3 cm in diameter), duodenal in 71 (more than 2 cm in diameter). Surgical treatment of the giant ulcers is a valid therapeutic measure in view of frequent complications, uneffective conservative treatment, common recurrences. Billroth I gastrectomy was performed in 2 patients. Billroth II gastrectomy in 110 with additional bilateral subdiaphragmatic or selective vagotomy in 8 cases, Roux' operation in 2 patients. Gastroenteroanastomosis was established in 16 cases of inflammatory infiltrate, disturbed gastric evacuation, no evidence of hemorrhage from the ulcer; in 15 cases of truncal bilateral subdiaphragmatic vagotomy. Lethality reached 3.07% (4 patients), which is a relatively low rate achieved due to appropriate preoperative preparation and early surgical intervention.
authors.forename: N O
authors.initials: NO
authors.lastname: Nikolaev
authors.forename: A I
authors.initials: AI
authors.lastname: Startsev
authors.forename: S G
authors.initials: SG
authors.lastname: Grishin
authors.forename: I A
authors.initials: IA
authors.lastname: Chekmasov
mesh_terms: D000328:Adult; D000368:Aged; D004381:Duodenal Ulcer / Q000175:diagnosis / Q000601:surgery*; D004386:Duodenum / Q000601:surgery; D005260:Female; D005743:Gastrectomy; D005763:Gastroenterostomy; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013276:Stomach Ulcer / Q000175:diagnosis / Q000601:surgery*; D015167:Vagotomy, Truncal
vernacular_title: Osobennosti diagnostiki i khirurgicheskogo lecheniia gigantskikh gastroduodenal'nykh iazv.