ABSTRACT
An analysis of indications to operative treatment has been made on the basis of clinical examinations of 162 patients with chronic disturbances of duodenal patency. The operation is indicated to patients with mechanical forms with any stage and to all the patients with the stage of subcompensation and decompensation. Operations were performed on 98 patients. In patients with the stage of subcompensation the operations were most effective which excluded the duodenal passage, especially antrumectomy after Roux with the elimination of the mechanical obstacles at the level of the duodenojejunal passage. At the stage of decompensation only such combined operations are thought to be effective which include additional drainage of the excluded duodenum.
Subject(s)
Duodenal Obstruction/surgery , Anastomosis, Surgical/methods , Chronic Disease , Drainage , Duodenal Obstruction/etiology , Duodenum/surgery , Follow-Up Studies , Humans , Jejunum/surgery , Postoperative Complications/epidemiology , Pyloric Antrum/surgerySubject(s)
Diaphragm , Adolescent , Adult , Child , Child, Preschool , Humans , Infant , Infant, Newborn , Middle Aged , Muscular Diseases/surgerySubject(s)
Gastric Mucosa/pathology , Gastritis/pathology , Adult , Humans , Hypertrophy/pathology , Male , SyndromeABSTRACT
A linkage study of gastric secretion in complicated peptic ulcer in 445 patients, 192 radiotelemetric studies included, was carried out. Histological and histomorphometrical investigations of the stomach mucous membrane were carried out in 179 patients. Gastric resection was performed upon 306 patients: in 228 out of them the resection involved half of the stomach and was supplemented with selective vagotomy in case of hyperacidic secretion and unchanged mucous membrane. Good functional results were obtained in 94.4% out of 156 patients examined in late periods of the follow-up. There were no cases of the recurrence of ulcer.
