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...

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Main Authors: V. M. Durleshter, M. T. Didigov, S. V. Avakimyan, E. S. Babenko
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
Series:Медицинский вестник Юга России
Subjects:
Online Access:https://www.medicalherald.ru/jour/article/view/340
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author V. M. Durleshter
M. T. Didigov
S. V. Avakimyan
E. S. Babenko
author_facet V. M. Durleshter
M. T. Didigov
S. V. Avakimyan
E. S. Babenko
author_sort V. M. Durleshter
collection DOAJ
description 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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spelling doaj.art-f9d7270d2d41470180ef7ae6a630bbb72022-12-22T04:18:29ZengState Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian FederationМедицинский вестник Юга России2219-80752618-78762016-09-0103545810.21886/2219-8075-2016-3-54-58335COMPREHENSIVE TREATMENT DECOMPENSATED DUODENAL PEPTIC STENOSISV. M. Durleshter0M. T. Didigov1S. V. Avakimyan2E. S. Babenko3Kuban State Medical UniversityKrasnodar city clinical hospital of emergency medical aidKrasnodar city clinical hospital of emergency medical aidKrasnodar city clinical hospital of emergency medical aidPurpose: 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.https://www.medicalherald.ru/jour/article/view/340duodenal ulcerscar-decompensated ulcer duodenal stenosiscomplex treatment
spellingShingle V. M. Durleshter
M. T. Didigov
S. V. Avakimyan
E. S. Babenko
COMPREHENSIVE TREATMENT DECOMPENSATED DUODENAL PEPTIC STENOSIS
Медицинский вестник Юга России
duodenal ulcer
scar-decompensated ulcer duodenal stenosis
complex treatment
title COMPREHENSIVE TREATMENT DECOMPENSATED DUODENAL PEPTIC STENOSIS
title_full COMPREHENSIVE TREATMENT DECOMPENSATED DUODENAL PEPTIC STENOSIS
title_fullStr COMPREHENSIVE TREATMENT DECOMPENSATED DUODENAL PEPTIC STENOSIS
title_full_unstemmed COMPREHENSIVE TREATMENT DECOMPENSATED DUODENAL PEPTIC STENOSIS
title_short COMPREHENSIVE TREATMENT DECOMPENSATED DUODENAL PEPTIC STENOSIS
title_sort comprehensive treatment decompensated duodenal peptic stenosis
topic duodenal ulcer
scar-decompensated ulcer duodenal stenosis
complex treatment
url https://www.medicalherald.ru/jour/article/view/340
work_keys_str_mv AT vmdurleshter comprehensivetreatmentdecompensatedduodenalpepticstenosis
AT mtdidigov comprehensivetreatmentdecompensatedduodenalpepticstenosis
AT svavakimyan comprehensivetreatmentdecompensatedduodenalpepticstenosis
AT esbabenko comprehensivetreatmentdecompensatedduodenalpepticstenosis