Resection of the stomach “for exclusion” for penetrating stenosing ulcers of the duodenum
Abstract
Aim. Improving the immediate results of surgical treatment of penetrating stenotic duodenal ulcers.
Material and methods. The article presents the result of the analysis of the medical history of 62 patients with stenotic penetrating duodenal ulcers, in whom gastric resection “for exclusion” was applied. There were 51 (82.2%) men and 11 (17.8%) women. The ratio of M. - J. is 4.6: 1. The age of the patients ranged from 22 to 67 years, the average age was 42.6 ± 3.7 years. The main research methods for patients with penetrating stenotic ulcers, along with clinical and laboratory examination, are X-ray contrast examination of the stomach and duodenum and esophagogastroduodenoscopy.
Results. The choice of gastric resection “for exclusion” was due to the unresectability of the ulcer. In the postoperative period, complications occurred in 10 (16.1%) patients, failure of the sutures of the duodenal stump was observed in one (1.8%) patient. In the long term, peptic ulcer of the anastomosis was detected in 2 (3.2%) patients. Good and satisfactory outcomes were observed in 96.8% of patients.
Conclusions. Recognition by the surgeon of the unresectability of the stenotic penetrating duodenal ulcer is an indication for the use of gastric resection “for exclusion”. The best option for sealing the duodenal stump is our modified method of forming the supra-pyloric duodenal stump.
About the Authors
D. M. Kadyrov
State Institution “Institute of Gastroenterology” MOHSP of the Republic of Tajikistan
Tajikistan
Tajikistan
F. D. Kodirov
State Institution “Institute of Gastroenterology” MOHSP of the Republic of Tajikistan
Tajikistan
Tajikistan
Sh. Sh. Saidaliev
SEI “Avicenna Tajik State Medical University”
Tajikistan
Tajikistan
Saydaliev Shirinjon Sharifovich - candidate of medical sciences, assistant of the Department of Surgical Diseases No. 1
Tel .: + (992) 918673601
Z. V. Tabarov
State Institution “Institute of Gastroenterology” MOHSP of the Republic of Tajikistan
Tajikistan
Tajikistan
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Review
For citations:
Kadyrov D.M., Kodirov F.D., Saidaliev Sh.Sh., Tabarov Z.V. Resection of the stomach “for exclusion” for penetrating stenosing ulcers of the duodenum. Health care of Tajikistan. 2020;(4):21-28. (In Russ.)
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