COMPREHENSIVE TREATMENT DECOMPENSATED DUODENAL PEPTIC STENOSIS
Purpose: comparative evaluation of surgical methods of treatment of decompensated cicatricial-ulcerative stenosis of the duodenum and rationale for the choice of optimal tactics in complex treatment of these patients.Materials and Methods: summarizes the experience of complex treatment of 112 patien...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation
2016-09-01
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| Series: | Медицинский вестник Юга России |
| Subjects: | |
| Online Access: | https://www.medicalherald.ru/jour/article/view/340 |
| Summary: | Purpose: comparative evaluation of surgical methods of treatment of decompensated cicatricial-ulcerative stenosis of the duodenum and rationale for the choice of optimal tactics in complex treatment of these patients.Materials and Methods: summarizes the experience of complex treatment of 112 patients with decompensated cicatricialulcerative stenosis of the duodenum. 82 patients underwent radical duodenoplasty, aimed at restoring the motor-evacuation and secretory functions of the stomach, selective proximal vagotomy. 30 patients underwent resection of 2/3 of the stomach in various modifications.Results: The highest number of complications in the main group account for those patients who were simultaneously performed duodenoplasty and SPV. With the transition to a two-step method of surgical treatment postoperative complications almost never met. Almost all the pathological conditions in the long-term period after surgery is more pronounced in patients who underwent resection of the stomach.Summary: adical duodenoplasty allows to demonstrate the possibility of full recovery of gastric function after radical removal of pathological substrate and the preservation of the pylorus. |
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| ISSN: | 2219-8075 2618-7876 |