[Characteristics of diagnosis and surgical treatment of giant gastroduodenal ulcers].
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.
Nikolaev
N O
NO
Startsev
A I
AI
Grishin
S G
SG
Chekmasov
I A
IA
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
Osobennosti diagnostiki i khirurgicheskogo lecheniia gigantskikh gastroduodenal'nykh iazv.