The choice of surgical treatment method of perforated pyloroduodenal ulcer
Objective. To develop a method of organ-saving operation aimed at preservation of the physiological function of the pylorus and the normal physiological functioning of the pyloroduodenal area in patients with combined perforated, stenotic pyloroduodenal ulcers. Materials and methods. The study in...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
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Liga-Inform ltd.
2021-03-01
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| Series: | Клінічна хірургія |
| Subjects: | |
| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/894 |
| _version_ | 1797839518537089024 |
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| author | D. V. Maksymchuk V. I. Mamchich V. D. Maksymchuk |
| author_facet | D. V. Maksymchuk V. I. Mamchich V. D. Maksymchuk |
| author_sort | D. V. Maksymchuk |
| collection | DOAJ |
| description | Objective. To develop a method of organ-saving operation aimed at preservation of the physiological function of the pylorus and the normal physiological functioning of the pyloroduodenal area in patients with combined perforated, stenotic pyloroduodenal ulcers.
Materials and methods. The study included 60 patients who faced surgery treatment in relation to complicated combined perforated, stenotic pyloroduodenal ulcers. Depending on diagnostic and surgical tactics applied, patients were conditionally divided into two groups. The control group consisted of 30 patients who underwent standard suturing methods. The main group also consisted of 30 patients in whom the developed method was applicated.
Results. In the control group at the postoperative period of 30 patients operated in different ways complications occurred in 12 persons or in 40% of cases. In the main group of 30 patients operated according to the proposed method, complication in the form of anastomositis occurred in 1 patient only.
Conclusions. The obtained results substantiate recommendation to clinical application the suggested method of organ-saving operation aimed to preserve the physiological function of the pyloroduodenal area, which excludes perforated ulcers suturing without pyloric stenosis elimination and gastrectomy on the background of peritonitis. |
| first_indexed | 2024-04-09T15:59:13Z |
| format | Article |
| id | doaj.art-2d5fba32d5c74843bed7967251b938bb |
| institution | Directory Open Access Journal |
| issn | 0023-2130 2522-1396 |
| language | Russian |
| last_indexed | 2024-04-09T15:59:13Z |
| publishDate | 2021-03-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj.art-2d5fba32d5c74843bed7967251b938bb2023-04-25T13:54:16ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962021-03-01881-281310.26779/2522-1396.2021.1-2.08894The choice of surgical treatment method of perforated pyloroduodenal ulcerD. V. Maksymchuk0V. I. Mamchich1V. D. Maksymchuk2Shupyk National University of Health of Ukraine, KyivShupyk National University of Health of Ukraine, KyivChornobayiv Multidisciplinary HospitalObjective. To develop a method of organ-saving operation aimed at preservation of the physiological function of the pylorus and the normal physiological functioning of the pyloroduodenal area in patients with combined perforated, stenotic pyloroduodenal ulcers. Materials and methods. The study included 60 patients who faced surgery treatment in relation to complicated combined perforated, stenotic pyloroduodenal ulcers. Depending on diagnostic and surgical tactics applied, patients were conditionally divided into two groups. The control group consisted of 30 patients who underwent standard suturing methods. The main group also consisted of 30 patients in whom the developed method was applicated. Results. In the control group at the postoperative period of 30 patients operated in different ways complications occurred in 12 persons or in 40% of cases. In the main group of 30 patients operated according to the proposed method, complication in the form of anastomositis occurred in 1 patient only. Conclusions. The obtained results substantiate recommendation to clinical application the suggested method of organ-saving operation aimed to preserve the physiological function of the pyloroduodenal area, which excludes perforated ulcers suturing without pyloric stenosis elimination and gastrectomy on the background of peritonitis.https://hirurgiya.com.ua/index.php/journal/article/view/894peptic ulcer disease; pyloroduodenal ulcer; pylorus stenosis; perforated ulcer; bleeding; penetration; gastrectomy; mobilization of the duodenum. |
| spellingShingle | D. V. Maksymchuk V. I. Mamchich V. D. Maksymchuk The choice of surgical treatment method of perforated pyloroduodenal ulcer Клінічна хірургія peptic ulcer disease; pyloroduodenal ulcer; pylorus stenosis; perforated ulcer; bleeding; penetration; gastrectomy; mobilization of the duodenum. |
| title | The choice of surgical treatment method of perforated pyloroduodenal ulcer |
| title_full | The choice of surgical treatment method of perforated pyloroduodenal ulcer |
| title_fullStr | The choice of surgical treatment method of perforated pyloroduodenal ulcer |
| title_full_unstemmed | The choice of surgical treatment method of perforated pyloroduodenal ulcer |
| title_short | The choice of surgical treatment method of perforated pyloroduodenal ulcer |
| title_sort | choice of surgical treatment method of perforated pyloroduodenal ulcer |
| topic | peptic ulcer disease; pyloroduodenal ulcer; pylorus stenosis; perforated ulcer; bleeding; penetration; gastrectomy; mobilization of the duodenum. |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/894 |
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