Modified Methods and Technical Techniques of Operations for “Difficult” Duodenal Ulcers
Downloads
In elective surgery of duodenal ulcers (DU), postoperative mortality reaches 4–6%, with perforation of the ulcer – 5–8%, with bleeding – 20–30%. At the same time, the leading cause of mortality is the failure of the duodenal stump, which occurs in 0.4–4.4% of patients, which significantly increases with gastric cancer due to “difficult” duodenal ulcers.
The authors have developed improved methods and techniques that ensure the safety of surgical intervention in case of “difficult” DU and facilitate its technical implementation. As a result, the authors reduced the incidence of postoperative complications associated with the technique of gastric surgery to 7.2% (in the control group – 19.3%), as well as mortality to 1.2% (in the control group 9.0%).
Ageev A.F., Ageev M.A., Davletshin A.Kh. Duodenal stump. Kazan, Ekaterinburg. 2004, – p. 84.
Vlasov A.P., Saraev V.V., Katkov S.V. Comprehensive approach to the treatment of “difficult” duodenal ulcers. Medical almanac. 2012. No. 2 (21). – p. 153–156.
Zaitsev O.V., Tarasenko S.V., Natalsky A.A., Morozov K.S. Technical aspects of performing gastric resection in conditions of difficult duodenal ulcer // Pacific Medical Journal, No. 3, 2011. – p. 75–79.
Kadirov D.M., Kodirov F.D., Kurbonov D.M., Kobilov Kh.Sh. Surgical treatment of postbulbar ulcers complicated by stenosis // Surgery. Journal them. N.I. Pirogov. No 5, 2010. – p. 42–46.
Sinichenko G.N. The method of covering the “difficult” stump of the duodenum during resection of the stomach // Surgery. No 11, 2005. – p. 37–41.
Nikitin V.N., Klipach S.G. “Difficult” stump with complicated giant penetrating pyloroduodenal ulcers // News of Surgery. Volume 25, Number 6, 2017. – p. 574–582.
Tsukanov Yu.T., Nikitin V.N., Nikolajchuk A.I. Method of forming stump duodenal ulcer in a giant circular complicated ulcer. RF patent. 2012.
Ducur A., Blidaru P., Kicscu S., Georgescu A., Manea G., Stanescu R., Spataru А. The complicated postbulbar ulcer (CPBU) // Chururgia (Bucur). 1996. – p. 36–38.
All Content should be original and unpublished.