[Surgical treatment of complicated ulcer disease of the stomach and duodenum at the health department of a metallurgical factory]. / Khirurgicheskoe lechenie oslozhnennoi iazvennoi bolezni zheludka i dvenadtsatiperstnoi kishki v mediko-sanitarnoi chasti metallurgicheskogo kombinata.

The case records of 419 patients with complicated gastric and duodenal ulcer disease were analysed. Frequent asymptomatic course of the ulcer disease was noted in workers of the metallurgical and engineering industry. Different modifications of Billroth resection of the 2/3 of the stomach were used in 240 patients, selective proximal vagotomy (SPV) with ulcer excision--in 87, transverse gastric resection with preservation of the pyloric sphincter--in 30, closure of a perforative hole--in 60, closure of a perforative hole with excision of the ulcer margins and bilateral truncal vagotomy--in 2. The most favourable long-term result was noted in patients after SPV with ulcer excision and transverse gastric resection with preservation of the pyloric sphincter.