[Surgical treatment of ulcerous pyloroduodenal stenosis].
From 1990 to 2001 531 patients underwent surgery for ulcerous pyloroduodenal stenosis, from 1990 to 1995 312 operations were performed with lethality 0.9%, from 1996 to 2001--312 surgeries with one lethal outcome (0.4%). Surgical policy is based on a differential approach to choice of surgical method with consideration of stage of stenosis and level of gastric secretion, and also surgical risk. Organ-saving operations including laparoscopic vagotomy were performed in forming and compensated stenosis. At late stages (sub- and decompensated stenosis) resections (chiefly with vagotomy) were performed. In long-term period excellent and good results were achieved in 91.4% patients.
Pantsyrev
Iu M
IuM
Cherniakevich
S A
SA
Mikhalev
A I
AI
D013505:Digestive System Surgical Procedures / Q000379:methods*; D004380:Duodenal Obstruction / Q000150:complications / Q000601:surgery*; D004381:Duodenal Ulcer / Q000150:complications / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D011707:Pyloric Stenosis / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D012720:Severity of Illness Index