ABSTRACT
Long-term follow-up of 144 patients with different types of gastrointestinal anastomoses after repeated and reconstructive operations was gained. Endoscopic and roentgenological data, as wall as data of electrogastrointestinography were assessed. Hystological samples of gastric stump and efferent intestinal loop were analyzed. The conducted survey proved an end-to-end gastro-duodeno-anastomosis to be the best in functional meaning. When the latter is impossible, an antiperistaltic horizontal short-loop gastroenteroanastomosis should be performed.
Subject(s)
Duodenum/physiopathology , Duodenum/surgery , Gastroenterostomy , Stomach/physiopathology , Stomach/surgery , Duodenum/diagnostic imaging , Endoscopy , Gastric Emptying , Humans , Radiography , Stomach/diagnostic imagingSubject(s)
Appendectomy/adverse effects , Hernia, Ventral/surgery , Plastic Surgery Procedures/methods , Appendicitis/surgery , Follow-Up Studies , Hernia, Ventral/etiology , Humans , Male , Middle Aged , Postoperative Complications , Reoperation , Severity of Illness Index , Surgical Flaps , Suture TechniquesABSTRACT
The results of surgical treatment of 36 patients with gastric ulcers are analyzed. All these patients have undergone resection of 1/2 stomach with excision of the lesser curvature and creation of end-to-end gastroduodenoanastomosis (GDA, n=21), terminolateral GDA (n=2), antiperistaltic horizontal gastroenteroanastomosis (GEA, n=8) and isoperistaltic GEA (n=5). Five-year follow-up demonstrates good results of gastric resection with excision of the lesser curvature in patients with gastric ulcer.
Subject(s)
Stomach Ulcer/physiopathology , Stomach Ulcer/surgery , Adult , Aged , Anastomosis, Surgical , Female , Humans , Male , Middle AgedABSTRACT
Experience in surgical treatment of 261 patients with complicated gastroduodenal ulcer is summarized. A new improved method of resection with subtotal excision of the small curvature and selective gastric vagotomy, creation of a gastric stump in the form of a proximal reservoir and distal tubular canal was used. In 144 cases this method was performed as repeated or reconstructive surgery in post-vagotomic ulcers. The follow-up was 5 years, long-term results were evaluated in 166 patients with the Visik scale. Excellent and good results were seen in 151 (91%) patients, satisfactory -- in 13 (7.8%), and a poor result (recurrence of ulcer) -- in 2 (1.2%) patients.
Subject(s)
Gastrectomy/methods , Peptic Ulcer/surgery , Plastic Surgery Procedures/methods , Stomach/surgery , Vagotomy, Proximal Gastric/methods , Adolescent , Adult , Aged , Female , Follow-Up Studies , Humans , Male , Middle Aged , Recurrence , Treatment OutcomeABSTRACT
Results of organo-saving operations in 807 patients (72% men, 28% women) with duodenal ulcers were analyzed. Bilateral truncal vagotomy (with pyloro-, duodenoplasty, gastroenterostomy, gastroduodenostomy, economical stomach resection) were performed in 27.1% patients, selective--in 1.4%, selective proximal--in 65.5%, anterior selective and posterior truncal vagotomy--in 6.0%. Lethality was 1.6%, long-term results were excellent and good in 75.6% cases. Satisfactory results were seen in 8.6% patients, bad results--in 15.8%.
Subject(s)
Duodenal Ulcer/surgery , Vagotomy/adverse effects , Humans , Treatment Outcome , Vagotomy/methods , Vagotomy/mortalityABSTRACT
The results of surgical treatment in more than 700 patients clinical course and methods of diagnosis of recurrent and peptic ulcers of the duodenum after vagotomy are described. Some features of the course of peptic and recurrent ulcers of the duodenum depend on enzyme and acid producing function of the denervated stomach. Endoscopic examination has proved to be an effective method of diagnosis, as well as examination of the secretory function of the organs roengenological examination of the bowels. The patients of the "risk group" were singled out who needed prolonged follow-up or periodic treatment.
Subject(s)
Duodenal Ulcer/etiology , Duodenum/surgery , Postoperative Complications/etiology , Stomach/surgery , Vagotomy, Proximal Gastric/adverse effects , Anastomosis, Surgical/adverse effects , Duodenal Ulcer/diagnosis , Duodenal Ulcer/surgery , Endoscopy, Digestive System , Follow-Up Studies , Humans , Postoperative Complications/diagnosis , Recurrence , Retrospective StudiesSubject(s)
Cholestasis, Extrahepatic/etiology , Echinococcosis/complications , Pancreatic Diseases/complications , Adult , Cholestasis, Extrahepatic/diagnosis , Cholestasis, Extrahepatic/surgery , Diagnosis, Differential , Echinococcosis/diagnosis , Echinococcosis/surgery , Humans , Laparotomy , Male , Pancreatic Diseases/diagnosis , Pancreatic Diseases/parasitology , Pancreatic Diseases/surgery , SuctionABSTRACT
Under analysis were case histories of 41 patients with recurrent ulcer. An effective method of diagnostics is the endoscopic examination with an additional X-ray examination of the stomach and duodenum and secretory function of the organ. Gastric resection which is supplemented with selective gastric vagotomy depending on the state of gastric secretory function is the main method of surgical treatment of recurrent and peptic ulcers after vagotomy.
