RESUMO
In equal groups of patients with duodenal ulcers truncal vagotomy with draining operations were performed in 98 patients, gastric resection--in 196 patients. The observations lasted from 2 to 7 years. Immediate lethal outcomes did not take place after vagotomy. Six patients died after gastric resection (3.05%). Postoperative complications were observed in 8% and 22.7% correspondingly. In remote periods after vagotomy 75% of the patients were referred to the I and II group (by the Wisik scale), 12% of patients--to the III group, 12%--to the IV group, after gastric resection--70%, 20% and 10% correspondingly.
Assuntos
Úlcera Duodenal/cirurgia , Gastrectomia/efeitos adversos , Complicações Pós-Operatórias/etiologia , Vagotomia Troncular/efeitos adversos , Gastrectomia/mortalidade , Humanos , Complicações Pós-Operatórias/mortalidade , Fatores de Tempo , Vagotomia Troncular/mortalidadeRESUMO
Truncal vagotomy with draining measures was fulfilled in 70 patients with complicated duodenal ulcers. In 50 of them there was an insufficient cardial constrictor (in 26 patients--of light degree, in 20--of mild degree, in 4--of severe degree). Long-term results of the treatment of the disease were good in 68 patients, two patients had recurrences. Truncal vagotomy resulted in the improvement of the functional state of the cardial constrictor.