[Radical treatment of penetrating duodenal ulcer]. / Radikal'noe lechenie penetriruiushchei iazvy dvenadtsatiperstnoi kishki.

The results of treatment of 450 patients with duodenal ulcer have been analysed. Of them, in 198 (44%), ulcer penetration into the adjacent organs was revealed. An excellent and good results were noted in 80.3% of the patients. Vagotomy with an ulcer excision and subsequent restoration of the pyloric sphincter function in penetrating duodenal ulcer permits to reduce lethality and achieve stable recovery of the majority of patients.

[Treatment of complicated retroampullar duodenal ulcers]. / Lechenie oslozhnennykh zaampul'nykh iazv dvenadtsatiperstnoi kishki.

Of the 450 patients with complicated duodenal ulcer disease, in 23 (5.8%) the ulcer was located distally to the duodenal ampulla. On the basis of studying the results of surgical treatment, a conclusion is made, that the selective proximal vagotomy in combination with the ulcer excision and duodenoplasty is an operation of choice in complicated retroampullary ulcers. The operative interventions correcting the disturbances in the duodenal patency in preserved function of the pyloric sphincter contribute to prevention of duodenogastric reflux and alkaline reflux-gastritis.