RESUMO
Short- and long-term results of isolated selective proximal vagotomy (SPV) performed at non-complicated duodenal ulcer and SPV with duodenoplastic and drainage surgeries at ulcerous pyloroduodenal stenosis were analyzed. Principles of choice of duodenoplastic and drainage surgeries are discussed. Six variants of duodenoplasty is used depending on anatomic characteristics and localization of stenosis. Advantage of duodenoplasty over drainage surgeries is demonstrated. It is concluded that SPV with duodenoplasty should be regarded as surgical method of choice at the treatment of ulcerous duodenal stenosis because of low rate of stomach and duodenum functional disorders at long-term period after surgery.
Assuntos
Procedimentos Cirúrgicos do Sistema Digestório/métodos , Obstrução Duodenal/cirurgia , Úlcera Duodenal/cirurgia , Vagotomia Gástrica Proximal/métodos , Feminino , Humanos , Masculino , Complicações Pós-Operatórias/epidemiologia , Sucção/métodosRESUMO
The rate of persistence of and susceptibility of Helicobacter pylori (HP) to antibacterial drugs (ABDs) and the results of eradication therapy were studied in patients with duodenal peptic ulcer complicated by pyloroduodenal stenosis (PDS). The patients with PDS exhibited a high (97.1%) rate of anthral mucosal infection with HP showing a high resistance to ABDs. The efficiency of eradication therapy performed with the susceptibility of HP to ABDs kept in mind was 92.5%. The use of eradication therapy in the complex preoperative preparation of patients with ulcerative PDS increases the latter.
