PYLORIC “MECHANISM” FUNCTION AND LIFE QUALITY OF OF PATIENTS AFTER PYLORIC PRESERVING AND GASTRIC DRAINAGE OPERATION OF CICATRIX-ULCER DUODENAL STENOSIS

Abstract

Aim. To study the influence of the pyloric function recovery on the results of organ-preserving operation and life quality of patients with cicatrix-ulcer duodenal stenosis. Material and methods. The results of the surgery of 150 patients with duodenum ulcer complicated by stenosis were studied. Patients were divided into two groups: first - 90 patients that underwent selective proximal vagotomy in combination with duodenoplasty; second - 60 patients after selective proximal vagotomy with gastric drainage operations. The stage of recovery ofpyloric “mechanism” was presented by the speed and type of stomach evacuation, duodenogastric reflux, rate and extent of the dumping syndrome. Results. Duodenoplasy and gastric drainage operations are not the same from the position of pyloric “mechanism” function. The addition of the drainage operation to selective proximal vagotomy creates a condition for quick evacuation of stomach content. That brings to a complex of disorders that are specific to dumping syndrome and reflux-gastritis. Conclusion. Selective proximal vagotomy with duodenoplasy is the most rational treatment approach of ulcer disease complicated by duodenum stenosis, due to the preservation of pyloric function. It recovers normal morphologic and functional relations in the gastroduodenal complex which improves the life quality of patients up to population norm.