[Surgical treatment of gastric and duodenal ulcer disease with chronic duodenal obstruction].
One hundred and twenty-nine surgeries were performed from 1990 to 2001 for gastric (50) or duodenal (79) ulcers with chronic duodenal obstruction. Resection of 1/2 of the stomach by Bilrot-I was performed in 118 patients, pylorus-saving resection with creation of areflux valve in duodenal bulb--in 5, selective proximal vagotomy with duodenoplasty--in 6 patients. In early postoperative period complications were seen in 10 (10.9%) patients, postoperative lethality was 0.8% (one patient died). There was no insufficiency of anastomotic sutures. Postoperative stay was 11.3 +/- 1.5 days. In remote period after surgery symptoms of chronic pancreatitis was in 2.3% patients, but there were no symptoms of duodenostasis. Roentgenological symptoms of compensated duodenal obstruction were seen in 2 patients operative on for decompensated duodenostasis. These patients had no complaints.
Zherlov
G K
GK
Koshel'
A P
AP
Pomytkin
A V
AV
Rudaia
N S
NS
Keĭian
S V
SV
Sin'ko
S P
SP
Nustafaev
R S
RS
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004380:Duodenal Obstruction / Q000150:complications* / Q000601:surgery; D004381:Duodenal Ulcer / Q000150:complications / Q000601:surgery*; D005260:Female; D005763:Gastroenterostomy / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D013276:Stomach Ulcer / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome