[An individual approach to the surgical treatment and medical rehabilitation of duodenal ulcer patients].
Since 1986 403 patients have been treated according to the following programme: successive preparation for surgery, the operative intervention chosen individually for each patient, the purposeful medical rehabilitation. Different types of vagotomy with draining operations were performed in 85.6% of the cases, stomach resection--in 14.4% of the patients. The mortality rate was 0%. The indications for various types of vagotomy, stomach resection and different types of draining operations were determined. Rehabilitation of 55% of the patients after the operative treatment took place at the gastroenterological department, the others--at an outpatient department. The indications for rehabilitation, its volume and time were established. The best remote results in the follow-up periods up to five years were obtained after truncal vagotomy and stomach resection. Ulcer recurrences were noted in 3.5% and 5.2% of the cases respectively. Recurrences of the disease were noted in 7.8% after combined vagotomy and in more than 20% after SPV. Nine patients out of 34 with recurrent ulcers were reoperated with good results, the others were successfully treated by conservative therapy.
Kochetkov
A V
AV
Barashkov
V G
VG
Papazov
V I
VI
D000328:Adult; D004381:Duodenal Ulcer / Q000150:complications / Q000534:rehabilitation* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods / Q000534:rehabilitation; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000534:rehabilitation / Q000601:surgery; D010439:Peptic Ulcer Perforation / Q000534:rehabilitation / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology; D012008:Recurrence; D012086:Reoperation; D016896:Treatment Outcome; D014628:Vagotomy / Q000379:methods / Q000534:rehabilitation
Individual'nyĭ podkhod k khirurgicheskomu lecheniiu i meditsinskoĭ reabilitatsii bol'nykh duodenal'noĭ iazvoĭ.