title: [The surgical treatment results of ulcerous pyloro-duodenal stenosis: about 160 cases].
abstract: OBJECTIVE
  To evaluate the outcomes of the surgical treatment of ulcerous pyloro duodenal stenosis at Dakar.
  
  
  METHODS
  We carried out a retrospective study including 160 medical records of patients presenting an ulcerous pyloroduodenal stenosis from January 2000 to December 2006. After a mean follow up of 16 months, surgical outcomes were evaluated including mortality and morbidity. The functional results were evaluated using Visick Classification.
  
  
  RESULTS
  The mean age of our patients was 42 years and 6 months (range: 17-20 years). Our population included 126 men (78,7%) and 34 women (21,3%). Oeso-gastro-duodenal fibroscopy was performed in 136 patients (85%) whereas barium meal was carried out in 82 patients (51,25%). Surgical approach was laparoscopy in 132 cases (82%) and laparotomy in 28 cases (18%). All patients underwent a troncular vagotomy. In addition a gastroentero anastomosis was performed in 89,2% of cases, a pyloroplasty in 10% of cases and an antrectomy in 0,6% of cases. Mortality rate was 0%. The morbidity rate was 10% including parietal suppuration, diarrhoea and hiccups. Functional outcomes were as follows: Visick I in 91% of cases, Visick II in 6,3% of cases and Visick III in 2,7%.
  
  
  CONCLUSIONS
  Ulcerous pyloro duodenal stenosis is a frequent complication of ulcer disease. Its treatment is surgical based on a vagotomy with gastric discharge. The outcomes are satisfactory in our context.
authors: Service de Chirurgie Générale Hôpital Aristide Avenue Pasteur Dakar, BP 45296 Dakar, FannSénégal. ikonate203@yahoo.fr
authors: Ibrahima
authors: I
authors: Konaté
authors: Mohamed L
authors: ML
authors: Diao
authors: Mamadou
authors: M
authors: Cissé
authors: Madieng
authors: M
authors: Dieng
authors: Ousmane
authors: O
authors: Ka
authors: Cheikh Tidiane
authors: CT
authors: Touré
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000706:statistics & numerical data; D004380:Duodenal Obstruction / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D007409:Intestinal Atresia; D010535:Laparoscopy / Q000706:statistics & numerical data; D007813:Laparotomy / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011706:Pyloric Antrum / Q000601:surgery; D011707:Pyloric Stenosis / Q000209:etiology / Q000601:surgery*; D011708:Pylorus / Q000601:surgery; D012189:Retrospective Studies; D016896:Treatment Outcome; D015167:Vagotomy, Truncal / Q000706:statistics & numerical data; D055815:Young Adult