[The choice of the method for surgical intervention in patients with a duodenal ulcer and a very high gastric acid production].
Specific features of the gastric juice production and results of vagotomy, resection of 2/3 of the stomach and vagotomy with antrumectomy were studied in 217 "hypersecreters". Taking into account that patients with very high gastric acid production have the elevation of both the Ist and IInd phases of gastric secretion, vagotomy and resection of 2/3 of the stomach, do not always inhibit their acidity and this category of patients have recurrent ulcers too often after these operations. Vagotomy with antrumectomy is followed by most reliable inhibition of acidity and saves hypersecreters from ulcers. Results of this operation are recognized to be excellent and good in 89.1% of the patients.
Arkhipov
V F
VF
Movchan
K N
KN
Zuev
V K
VK
D002940:Circadian Rhythm / Q000502:physiology; D004381:Duodenal Ulcer / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods; D005744:Gastric Acid / Q000378:metabolism*; D006801:Humans; D011706:Pyloric Antrum / Q000601:surgery; D012008:Recurrence; D014628:Vagotomy / Q000379:methods
Vybor sposoba operativnogo vmeshatel'stva u bol'nykh iazvoĭ dvenadtsatiperstnoĭ kishki s ochen' vysokoĭ zheludochnoĭ kislotoproduktsieĭ.