Subject(s)
Gastrectomy/history , Gastrectomy/methods , History, 20th Century , Humans , Stomach Diseases/surgery , UkraineSubject(s)
Lung Diseases, Obstructive/surgery , Pneumonectomy , Tuberculosis, Pulmonary/surgery , Adolescent , Adult , Child , Female , Follow-Up Studies , Humans , Lung Diseases, Obstructive/rehabilitation , Male , Middle Aged , Postoperative Complications , Rehabilitation, Vocational , Time Factors , Tuberculosis, Pulmonary/rehabilitationSubject(s)
Balneology , Mineral Waters , Peptic Ulcer/therapy , Adolescent , Child , Female , Humans , MaleABSTRACT
On the basis of the analysis of the use of the Roux-en-Y jejunal interposition in surgical treatment of 147 patients with diseases of the stomach and duodenum, a conclusion is made of the expediency to distinguish the special type of functional disorders developing after the operation, which are called the Roux syndrome. Clinical manifestations and methods for the treatment of the mentioned syndrome are elucidated in detail.
Subject(s)
Anastomosis, Roux-en-Y/adverse effects , Duodenal Diseases/surgery , Duodenogastric Reflux/etiology , Stomach Diseases/surgery , Adult , Combined Modality Therapy , Duodenogastric Reflux/therapy , Female , Humans , Male , Middle AgedABSTRACT
The results of selective proximal vagotomy (SPV) in 1266 patients were studied. In 778 (61.5%) SPV alone was performed, in 488 (38.5%)--SPV with drainage operation: Finney pyloroplasty--in 249 (51%), Heineke-Mikulicz pyloroplasty--in 77 (15.8%), Jaboulay gastroduodenostomy--in 75 (15.4%), anterior hemipylorectomy--in 49 (10%), other drainage operations--in 38 (7.8%). After isolated SPV, excellent and good results were noted in 81.5% of the patients, satisfactory--in 11.1%, unsatisfactory--in 7.4%; after SPV with drainage operation--in 87.7%, 9.6% and 2.7%, respectively. An ulcer recurrence after SPV was revealed in 58 (7.4%), after SPV with drainage operation--in 13 (2.7%) of the patients examined. In 90% of cases, an ulcer recurrence developed at the pyloroduodenal zone, in 10%--in the stomach. The incidence of ulcer recurrence was 8.7% after operations performed by surgeons, who had not enough experience with the SPV performance, and 4.4%--by experienced surgeons. In 46.5% of cases, in recurrent ulcer, the conservative treatment was performed, and the remaining patients underwent surgery (antrumectomy, revagotomy etc.).
Subject(s)
Peptic Ulcer/surgery , Vagotomy, Proximal Gastric , Drainage , Follow-Up Studies , Humans , RecurrenceSubject(s)
Gastrectomy/methods , Stomach Ulcer/surgery , Vagotomy/methods , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , RecurrenceSubject(s)
Duodenal Obstruction/surgery , Adolescent , Adult , Child , Chronic Disease , Duodenum/surgery , Female , Humans , Jejunum/surgery , Male , Middle Aged , Suture TechniquesABSTRACT
The article describes 44 observations of peptic ulcers, the appearance of them being explained by the retained antral mucosa in the stump of the duodenum and stomach.
