ABSTRACT
On the basis of an analysis of organic and functional disorders revealed in 195 patients operated on for duodenal ulcer with a 1 to 20 years follow-up the authors propose a classification of evaluation of long-term results with consideration of rehabilitative and prophylactic measures. It was established that long-term results revealed a tendency to the increase of good and excellent outcomes both after gastric resection and after the two types of vagotomy.
Subject(s)
Duodenal Ulcer/surgery , Absenteeism , Drainage/methods , Duodenal Ulcer/diagnosis , Duodenal Ulcer/mortality , Evaluation Studies as Topic , Follow-Up Studies , Gastrectomy/methods , Humans , Vagotomy/methodsABSTRACT
Results of the surgical treatment of 220 patients are described, in 43 of them the ulcers were more than 2 cm in diameter. The total postoperative lethality was 5.9%, in patients with large size ulcers--11.6%. Specific features of the clinical course, surgical tactics, causes of unfavorable outcomes and methods of prophylactics in patients with large ulcers are discussed.
Subject(s)
Duodenal Ulcer/complications , Peptic Ulcer Hemorrhage/surgery , Adult , Age Factors , Aged , Drainage/methods , Female , Gastrectomy , Humans , Male , Middle Aged , Palliative Care , Peptic Ulcer Hemorrhage/pathology , Pyloric Antrum/surgery , Suture Techniques , Vagotomy, Proximal Gastric , Vagotomy, TruncalSubject(s)
Duodenal Ulcer/physiopathology , Gastrointestinal Motility , Stomach/blood supply , Adult , Aged , Duodenal Ulcer/surgery , Female , Gastrectomy , Humans , Male , Middle Aged , Postoperative Period , Regional Blood Flow , VagotomySubject(s)
Duodenal Ulcer/complications , Peptic Ulcer Hemorrhage/surgery , Animals , Dogs , Female , Humans , Male , Methods , MicrocirculationSubject(s)
Peptic Ulcer Perforation/surgery , Peptic Ulcer/surgery , Pyloric Stenosis/surgery , Adult , Age Factors , Aged , Female , Humans , Male , Middle Aged , Peptic Ulcer/complications , Time FactorsSubject(s)
Duodenal Ulcer/surgery , Gastric Mucosa/blood supply , Stomach Ulcer/surgery , Adult , Female , Humans , Male , Middle Aged , Regional Blood FlowABSTRACT
The authors have developed a method for the assessment of the degree of the operation risk with special reference to the clinical (nosological) age showing the functional state of the main vital systems of the organism, the degree of the main and accompanying diseases, the character and volume of the surgery. The frequency of postoperative complications and the lethality rate depending on different degrees of the operation risk were studied on the basis of 1922 case histories of surgical patients. Certain different classifications of the operation risk are compared. The authors propose a classification of the degree of the risk of surgical diseases to be compared with the operation risk.
