[Choice of surgical treatment method for peptic ulcer of operated stomach].
The analysis of immediate and long-term results of surgical treatment in 98 patients with peptic ulcer of operated stomach is presented. The choice of surgical method was determined by the disease cause. Reconstructive stomach resection by Bilrot-II in Roux modification was operation of choice in peptic ulcer with non-hormonal factors of ulcerogenesis. When hormonal cause of ulcerogenesis was suspected, even in unknown origin of hypergastrinemia, the extirpation of gastric stump is indicated. Trunkal vagotomy can be performed as an additional surgical method only. Favorable surgical outcomes were seen in 90 (91.8%) patients. Long-term results from 2 to 15 years were studied in 74 (82.2%) patients. They were recognized as good in 48 (53.3%) patients, as satisfactory--in 12 (13.3%). The recurrence of the disease was seen in 4 (4.4%) patients. 10 patients died due to causes not associated with stomach diseases.
Ovchinnikov
V A
VA
Men'kov
A V
AV
D000293:Adolescent; D000328:Adult; D000368:Aged; D003657:Decision Making; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013276:Stomach Ulcer / Q000601:surgery*; D016896:Treatment Outcome; D015167:Vagotomy, Truncal / Q000379:methods*
Vybor sposoba khirurgicheskogo lecheniia pepticheskikh iazv operirovannogo zheludka.