Tags

Type your tag names separated by a space and hit enter

[Comparative characteristics of efficacy of operations in ulcerous pyloroduodenal stenosis].
Khirurgiia (Mosk) 2002; (5):26-9K

Abstract

1107 patients with ulcerous pyloroduodenal stenosis (UPDS) were operated since 1968 to 2000. Duodenal ulcers caused stenosis in 1053 (95%) patients, gastric ulcers of types II and III--in 54 (5%). Various stomach resections were performed in 287 (92%) patients organ-saving operations--in 795 (71.8%) patients Longterm outcomes were studied in 797 (71.9%) patients, 491 (61.6%) of them were examined in hospital and 306 (38.4%) responded to questionnaires. Mean follow-up was 17 +/- 8.4 years. Early postoperative complications were in 138 (12.5%) patients, after resections--in 20.5%, after organ-saving operations--in 9.3%. General lethality after UPDS surgery was 0.6%, after organ-saving operations--0.2%, after resections--1.3%. Pathologic syndromes were seen in 31% patients. Recurrence of ulcer after organ-saving operations was revealed in 11% in remote terms. Demping-syndrome was in 22.9% patients. Most often it was revealed after 2/3 stomach resection by Bilrot-II in Gofmeister--Finsterer (G--F) modification, less often--after SPV with duodenoplasty. The only operation preventing reflux-gastritis was economic stomach resection with Roux anastomosis and trunk vagotomy (TV + Er Roux). Good and excellent results by Visick scale were achieved in 85% patients with UPDS. Evaluation by D. Johnston scale demonstrated best results after SPV in duodenoplasty (238 points) and TV + ER Roux (272 points), the worst results--after B-1 (773 points) and B-II G--F (1124 points). Optimal results like healthy quality of life was seen after TV + ER Roux and SPV with duodenoplasty.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

rus

PubMed ID

12077831

Citation

Okoemov, M N., et al. "[Comparative Characteristics of Efficacy of Operations in Ulcerous Pyloroduodenal Stenosis]." Khirurgiia, 2002, pp. 26-9.
Okoemov MN, Kuzin NM, Krylov NN, et al. [Comparative characteristics of efficacy of operations in ulcerous pyloroduodenal stenosis]. Khirurgiia (Mosk). 2002.
Okoemov, M. N., Kuzin, N. M., Krylov, N. N., & Maĭorova, I. u. B. (2002). [Comparative characteristics of efficacy of operations in ulcerous pyloroduodenal stenosis]. Khirurgiia, (5), pp. 26-9.
Okoemov MN, et al. [Comparative Characteristics of Efficacy of Operations in Ulcerous Pyloroduodenal Stenosis]. Khirurgiia (Mosk). 2002;(5)26-9. PubMed PMID: 12077831.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Comparative characteristics of efficacy of operations in ulcerous pyloroduodenal stenosis]. AU - Okoemov,M N, AU - Kuzin,N M, AU - Krylov,N N, AU - Maĭorova,Iu B, PY - 2002/6/25/pubmed PY - 2002/8/2/medline PY - 2002/6/25/entrez SP - 26 EP - 9 JF - Khirurgiia JO - Khirurgiia (Mosk) IS - 5 N2 - 1107 patients with ulcerous pyloroduodenal stenosis (UPDS) were operated since 1968 to 2000. Duodenal ulcers caused stenosis in 1053 (95%) patients, gastric ulcers of types II and III--in 54 (5%). Various stomach resections were performed in 287 (92%) patients organ-saving operations--in 795 (71.8%) patients Longterm outcomes were studied in 797 (71.9%) patients, 491 (61.6%) of them were examined in hospital and 306 (38.4%) responded to questionnaires. Mean follow-up was 17 +/- 8.4 years. Early postoperative complications were in 138 (12.5%) patients, after resections--in 20.5%, after organ-saving operations--in 9.3%. General lethality after UPDS surgery was 0.6%, after organ-saving operations--0.2%, after resections--1.3%. Pathologic syndromes were seen in 31% patients. Recurrence of ulcer after organ-saving operations was revealed in 11% in remote terms. Demping-syndrome was in 22.9% patients. Most often it was revealed after 2/3 stomach resection by Bilrot-II in Gofmeister--Finsterer (G--F) modification, less often--after SPV with duodenoplasty. The only operation preventing reflux-gastritis was economic stomach resection with Roux anastomosis and trunk vagotomy (TV + Er Roux). Good and excellent results by Visick scale were achieved in 85% patients with UPDS. Evaluation by D. Johnston scale demonstrated best results after SPV in duodenoplasty (238 points) and TV + ER Roux (272 points), the worst results--after B-1 (773 points) and B-II G--F (1124 points). Optimal results like healthy quality of life was seen after TV + ER Roux and SPV with duodenoplasty. SN - 0023-1207 UR - https://www.unboundmedicine.com/medline/citation/12077831/[Comparative_characteristics_of_efficacy_of_operations_in_ulcerous_pyloroduodenal_stenosis]_ DB - PRIME DP - Unbound Medicine ER -