[Surgical tactics in the treatment of duodenal ulcer disease coexistent with diseases of other organs of abdominal cavity].

Surgical treatment was performed in 102 patients suffering duodenal ulcer and chronical calculous cholecystitis, gastroesophageal leyomyoma, esophageal, duodenal, small intestinal diverticulum, cardiospasm and other diseases. In all the patients the simultant operative intervention was performed for duodenal ulcer and other diseases of the abdominal cavity organs. All the patients had survived after the operation. Good and fair results were noted in terms of 6 mo -20 yrs follow-up in 79 patients.

[Urgent surgical treatment of duodenal ulcer disease, complicated by hemorrhage and reflux-esophagitis].

Simultant surgical treatment was conducted in 101 patients with duodenal ulcer disease, complicated by hemorrhage and reflux-esophagitis. There was performed the ulcer suturing or excision, duodenopyloroplasty, selective proximal vagotomy, fundoplication. All the patients are alive. Good and fair result was noted in 82 (98.8%) of patients, poor - in 1 (1.2%). Reflux-esophagitis recurrence was not observed.

[Application of selective proximal vagotomy in surgical treatment of duodenal ulcer, complicated by perforation and reflux-esophagitis].

Simultant surgical treatment of 310 patients, suffering the duodenal ulcer disease, complicated by perforation and reflux-esophagitis, was conducted. There was performed of perforated ulcer dissection, pyloroduodenoplasty, selective proximal vagotomy, fundoplication. The results of treatment of 245 patients in terms from 6 mo up to 20 yrs were studied up. Good and satisfactory results were noted accordingly in 94.6 and 3.4% of observations. Duodenal ulcer disease recurrence have occurred in 6 (2%) of patients. The reflux-esophagitis recurrence was not observed. All the patients have survived.

[Combined surgical treatment of duodenal ulcer disease and reflux-esophagitis].

Surgical treatment was conducted in 328 patients with duodenal ulcer disease and reflux-esophagitis. In all the patients selective proximal vagotomy and correcting operation on cardia was performed. All the patients survived after the operation. There were examined 250 (76.2%) patients in terms up to 20 years, good and satisfactory results were noted in 98.4%, poor--in 1.6%.

[Combined surgical treatment of duodenal ulcer and reflux esophagitis]. / Sochetannoe khirurgicheskoe lechenie iazvennoi bolezni dvenadtsatiperstnoi kishki i refliuks-ézofagita.

Under study were results of the associated surgical treatment of 349 patients with ulcer disease of the duodenum and reflux-esophagitis. The optimum operation procedure for this pathology at the present time is selective proximal vagotomy with fundoplication, while for stenosing reflux-esophagitis the preoperative bougienage of the esophagus should be used. If the bougienage is impossible, resection of the altered portion of the esophagus is necessary. In most patients such tactics gave good and excellent nearest and remote results.

[Duodenoplasty as a draining operation in postbulbar stenosing duodenal ulcers]. / Duodenoplastika kak dreniruiushchaia operatsiia v khirurgii postbul'barnykh stenoziruiushchikh duodenal'nykh iazv.

Different variants of duodenoplasty were fulfilled in 12 patients with subcompensated postbulbar ulcerous stenosis as draining operations in selective proximal vagotomy. Good immediate and remote (up to 2 years) results were obtained. No relapses of ulcer, dumping syndrome, duodenogastral reflux were observed in the operated patients.