[Duodeno-pyloroplasty by resected stomach in ulcer disease].
Organ-saving operation in ulcer disease--duodenopyloroplasty with resected stomach--is proposed. Unlike the other pylorus-saving operations, this variant is universal, because it allows to remove ulcer in different location and also to correct acidity. The operation was performed in 647 patients with complicated forms of ulcer disease. Postoperative lethality was 0.46% (3 patients). Stomach motor-evacuatory function disorders were revealed in 21 (3.40%) patients, 7 (1.08%) of them underwent repeated operation. Depending on acidity before operation, different variants of acidity correction were applied. There was no ulcer recurrence in patients with normacidic gastric ulcers. Patients with hyperacidic pyloroduodenal ulcers had the risk of recurrence. From 472 operated patients high acidity after operation was revealed in 33 (6.99%), in 16 (3.38%) of them the recurrence was observed. Reoperation was performed in 13 (2.75%) patients. In comparative assessment of long-term results, the sum of "penal" points in duodenopyloroplasty was 4 times smaller than in standard stomach resection.
Naumov
V F
VF
Shpalinskiĭ
G V
GV
Gabdraupova
S R
SR
Markelov
V I
VI
Minegolov
R R
RR
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D004381:Duodenal Ulcer / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011708:Pylorus / Q000601:surgery; D013270:Stomach / Q000637:transplantation*; D013276:Stomach Ulcer / Q000601:surgery*; D016896:Treatment Outcome