[Prevention and complex treatment of duodenal stump incompetence].
The results of surgical treatment of 1,069 patients for gastric and duodenal ulcer were studied. Duodenal stump incompetence (DSI) developed in 25 patients (6.3%) after the Billroth II operation; the incompetence was manifested by three clinical forms: infiltrative, primary-fistular, and perforative-peritoneal. Each form of DSI calls for specific tactics of treatment. The perforative-peritoneal form is most dangerous; during its operative management active aspiration-perfusion drainage of the zone of the stump must be installed and the duodenum relieved of a load as much as possible. Drugs reducing pancreatic function, postural drainage, and a diet is included in the complex of therapeutic measures in DSI. The wide introduction of organ-preserving operations into surgical practice will make it possible to avoid this threatening complication.
Salikhov
I A
IA
Fedorov
V V
VV
Krasil'nikov
D M
DM
Knubovets
S Ia
SIa
Minnegaliev
M M
MM
Mosikhin
B B
BB
D004322:Drainage; D004381:Duodenal Ulcer / Q000601:surgery; D004386:Duodenum / Q000601:surgery*; D005743:Gastrectomy; D005763:Gastroenterostomy; D006801:Humans; D007583:Jejunum / Q000601:surgery; D010437:Peptic Ulcer / Q000601:surgery*; D011183:Postoperative Complications; D013276:Stomach Ulcer / Q000601:surgery; D014629:Vagotomy, Proximal Gastric; D015167:Vagotomy, Truncal
Profilaktika i kompleksnoe lechenie nesostoiatel'nosti duodenal'noĭ kul'ti.