RESUMO
Of the 2704 patients operated on for duodenal ulcer disease within the 10-year period, a benign tumour of the duodenum was revealed in 8 (polyp--in 6, myoma--in 1, fibroma--in 1), and a malignant one--in 3. Endoscopic polypectomy was performed in 6 patients. For malignant tumours, pancreaticoduodenal resection was performed in 1 patient, resection of 2/3 of the stomach with removal of the suprapapillary duodenal portion--in 1, resection of the distal duodenum--in 1. The result of operation is good.
Assuntos
Adenocarcinoma/cirurgia , Neoplasias Duodenais/cirurgia , Fibroma/cirurgia , Pólipos Intestinais/cirurgia , Mioma/cirurgia , Adulto , Úlcera Duodenal/complicações , Úlcera Duodenal/cirurgia , Endoscopia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de TempoRESUMO
The probe small intestine nutrition was used in 1455 patients. In 96.4% of the patients the probe was introduced during operation, in 3.6% it was used both prior to it in order to prepare the patient to surgery and in cases with pronounced anastomositis and incompetent sutures in the postoperative period. Wide usage of the probe nutrition allowed the postoperative lethality after difficult surgical interventions to be reduced to 0.56%. The change of the infusion therapy by products introduced through the probe gave a considerable economic effect.