ABSTRACT
Based upon intraoperative observations and analysis of anatomo-surgical findings in 50 patients subjected to reoperations after selective proximal vagotomy the authors have established 3 stages of anatomical alterations of organs of the upper part of the abdominal cavity. Performing antrumectomy is thought to be possible as reoperation in the first stage and in the less degree in the second stage. Extensive resection is indicated to patients with the third stage of the alterations.
Subject(s)
Cicatrix/pathology , Colon/pathology , Liver/pathology , Peptic Ulcer/surgery , Postoperative Complications/pathology , Pylorus/pathology , Vagotomy, Proximal Gastric/adverse effects , Cicatrix/etiology , Cicatrix/surgery , Colonic Diseases/etiology , Colonic Diseases/surgery , Humans , Liver Diseases/etiology , Liver Diseases/surgery , Postoperative Complications/etiology , Postoperative Complications/surgery , Reoperation , Stomach Diseases/etiology , Stomach Diseases/surgery , Tissue Adhesions/etiology , Tissue Adhesions/surgeryABSTRACT
Eight cases of ulcer of the vagotomized stomach are described which appeared at different terms after organ-preserving operations. Resections of the stomach were fulfilled to all the patients. The main role in the appearance of secondary ulcers is attached to evacuatory disorders. The authors consider the operation of choice in ulcer stenosis of the duodenum to be tubular antrumectomy with subtotal dissection of the lesser curvature and reestablishment of the direct gastroduodenal continuity. The operations on 180 patients gave good immediate and long-term results.