ABSTRACT
Experience in treatment of 168 patients with burns of the esophagus including 42 (25%) with consequences of combined chemical burns of the esophagus and the stomach is presented. In combined burn strictures of the esophagus and a pyloroantral part of the stomach with a large area of the lesion the method of repair of enteral alimentation was successfully applied. This method lies in creation of distal ended gastrostoma on the anterior wall of the stomach with gastroenterostomy by Roux. Low traumaticity, simplicity and reliability of gastrostoma healing are the advantages of this method. There were no complications after ended gastrostoma creation.
Subject(s)
Burns, Chemical/pathology , Burns, Chemical/surgery , Esophageal Stenosis/etiology , Esophageal Stenosis/surgery , Esophagus/pathology , Esophagus/surgery , Stomach/pathology , Stomach/surgery , Adult , Digestive System Surgical Procedures/methods , Enteral Nutrition/methods , Gastrostomy/methods , Humans , Middle AgedABSTRACT
257 patients with duodenal ulcer and its complications underwent selective proximal vagotomy in combination with excision of duodenal ulcer without pyloric injury. Lethality rate was 0.78%. Long-term results of the operation by Visick's classification are evaluated as excellent and good in 105 (90.5%) patients, in 9 (7.8%) as satisfactory, in 2 (1.7%) as unsatisfactory. It is emphasized that operation saving the pylorus is optimal in such patients and can be performed almost in all patients irrespective of location of the ulcer, presence and tupe of its complications.
