ABSTRACT
The experience of surgical treatment of 10 patients with external intestinal fistulae was analyzed. The plot of the operation was to exlude the duodenum from the digestion by performing the retrocolic gastroenteroanastomosis after Roux or on the ultrashort loop. Early operation prevent septic complications and electrolyte disbalance. Duodenal fistulae, developed on the background of pancreonecrosis or after endoscopic retrograde cholangiopancreaticography, necessitate the external choledochial drainage.
Subject(s)
Duodenal Diseases/surgery , Duodenum/surgery , Gastroenterostomy , Intestinal Fistula/surgery , Adult , Aged , Cholangiopancreatography, Endoscopic Retrograde/adverse effects , Duodenal Diseases/diagnosis , Duodenal Diseases/etiology , Duodenal Diseases/physiopathology , Duodenum/diagnostic imaging , Early Medical Intervention/methods , Endoscopy, Gastrointestinal , Female , Gastroenterostomy/adverse effects , Gastroenterostomy/methods , Humans , Intestinal Fistula/diagnosis , Intestinal Fistula/etiology , Intestinal Fistula/physiopathology , Male , Malnutrition/etiology , Malnutrition/therapy , Middle Aged , Pancreatitis, Acute Necrotizing/complications , Perioperative Period/adverse effects , Perioperative Period/methods , Postoperative Complications/prevention & control , Treatment Outcome , Water-Electrolyte Imbalance/prevention & controlABSTRACT
New surgical technique for treatment of "low" duodenal ulcers--transversal posterior retrocolic gastroenteroanastomosis with selective proximal vagotomy--was worked out and introduced by the authors. 78 patients (61 men and 17 women at the age of 14-76 years) with "low" duodenal ulcers were operated using this technique during 1982-2007 years. Short-term and long-term results of treatment were studied. Advantages of this technique and indications for the operations were determined. Obtained results indicate that this surgical approach is reliable and effective and can be applied in clinical practice.
Subject(s)
Drainage/methods , Duodenal Ulcer/surgery , Vagotomy, Proximal Gastric , Adolescent , Adult , Aged , Anastomosis, Surgical , Duodenal Ulcer/complications , Duodenum/surgery , Female , Follow-Up Studies , Humans , Male , Middle Aged , Postoperative Complications , Stomach/surgery , Time Factors , Treatment OutcomeABSTRACT
In the ulcer pyloroduodenal stenosis the stages of complete and noncomplete decompensation are suggested. In 73% of observations, while performing an adequate preoperative preparation it was possible to convert pyloroduodenal stenosis from the stage of complete decompensation into the stage of noncomplete decompensation, in which the performance of organpreserving operation is possible. In the patients, suffering pyloroduodenal stenosis in the stage of noncomlete decompensation, resection of 2/3 of stomach is performed.
Subject(s)
Constriction, Pathologic/epidemiology , Constriction, Pathologic/surgery , Digestive System Surgical Procedures/methods , Duodenal Ulcer/epidemiology , Duodenal Ulcer/surgery , Pyloric Stenosis/epidemiology , Pyloric Stenosis/surgery , Anti-Ulcer Agents/therapeutic use , Duodenal Ulcer/drug therapy , Humans , Preoperative Care , Stomach/surgeryABSTRACT
Photodynamical and chromoesophagoscopic diagnostics in recognizing of Barrett disease are described in the article. The indications for surgical treatment of esophagogastric reflux disease are presented.