[Surgical treatment of duodenal ulcers].

Abstract

Selective proximal vagotomy (SPV) was fulfilled in 440 patients with ulcer of the duodenum, 30.0% of them being operated upon for relative indications, and 70.0% for different complications of the ulcer. Different draining operations were made in 219 patients with stenosis. Draining operations were made in 10.6% of 254 patients without stenosis of the pylorus who had big and deep penetrating ulcers which could disturb duodenal passage on their healing. Resections of the stomach after Billroth-I were fulfilled in 20 of 43 patients with combined gastric and duodenal ulcers, and after Hofmeister-Finsterer in 23 patients in view of a danger of malignization. The best results were obtained after proper SPV and after operations eliminating stenosis and saving the evacuating mechanism of the pylorus (transversal duodeno-duodenostomy in 10 patients and duodenoplasty--in 22). Resection of the stomach should be performed by the Billroth-I method.

• Authors: F S Kurbanov, S A Domrachev, S A Asadov, R R Mikailov, S V Doronin
• Journal: Vestnik khirurgii imeni I. I. Grekova (Vestn Khir Im I I Grek) Vol. 160 Issue 4 Pg. 17-21 ( 2001) ISSN: 0042-4625 [Print] Russia (Federation)
• Vernacular Title: Khirurgicheskoe lechenie iazvennoĭ bolezni dvenadtsatiperstnoĭ kishki.
• PMID: 11837159 (Publication Type: English Abstract, Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Duodenal Ulcer (surgery)
• Female
• Humans
• Male
• Middle Aged
• Vagotomy