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[Selective proximal vagotomy and duodenoplasty in surgical treatment of stenotic duodenal ulcer].
Khirurgiia (Mosk) 1991; (10):58-64K

Abstract

Experience in the treatment of 70 patients with stenotic duodenal ulcer by surgery is generalized. In addition to SPV the patients underwent duodenoplasty as a draining operation. There were 61 (87.1%) males and 9 (12.9%) females. Their ages ranged from 18 to 70 years. The stenosis was compensated in 21 (30%), ++non-compensated in 32 (45.7%), and decompensated in 17 (24.3%) patients. To determine the possibility of performing SPV, the maintenance of the gastric contractile activity was studied by noninvasive methods: computed peripheral electrogastrography and computed gastro-scintigraphy. Involvement of the pylorus into the cicatricial-ulcerous inflammatory infiltration is the main contraindication for duodenoplasty. In view of that, intensive 2-3 week preoperative antiulcer therapy acquires particular significance; it removes or reduces significantly the inflammatory infiltration in most cases and raises the possibility of conducting duodenoplasty. Only intraoperative inspection of the pyloroduodenal segment allows the possibility and type of pylorus -preserving duodenum draining operation to be determined. This operation can be undertaken if the proximal boundary of the stenotic cicatricial-ulcerous deformity is at a distance of at least 1 cm from the pyloric sphincter, whatever the degree and length of the narrowing. A total of 43 operations form the Heineke-Mikulicz Mikulicz duodenoplasty, 17 for Finney's pyloroplasty, and 10 for bulbo-duodenostomy were carried out. The authors consider excision of the duodenal ulcer to be expedient and safe only when it is located on the anterior wall; it was carried out in 9 cases.(

ABSTRACT

TRUNCATED AT 250 WORDS)

Authors

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Pub Type(s)

English Abstract
Journal Article

Language

rus

PubMed ID

1803094

Citation

Pomelov, V S., et al. "[Selective Proximal Vagotomy and Duodenoplasty in Surgical Treatment of Stenotic Duodenal Ulcer]." Khirurgiia, 1991, pp. 58-64.
Pomelov VS, Bulgakov GA, Grafskaia ND, et al. [Selective proximal vagotomy and duodenoplasty in surgical treatment of stenotic duodenal ulcer]. Khirurgiia (Mosk). 1991.
Pomelov, V. S., Bulgakov, G. A., Grafskaia, N. D., Gordeev, V. F., & Lysenko, A. O. (1991). [Selective proximal vagotomy and duodenoplasty in surgical treatment of stenotic duodenal ulcer]. Khirurgiia, (10), pp. 58-64.
Pomelov VS, et al. [Selective Proximal Vagotomy and Duodenoplasty in Surgical Treatment of Stenotic Duodenal Ulcer]. Khirurgiia (Mosk). 1991;(10)58-64. PubMed PMID: 1803094.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Selective proximal vagotomy and duodenoplasty in surgical treatment of stenotic duodenal ulcer]. AU - Pomelov,V S, AU - Bulgakov,G A, AU - Grafskaia,N D, AU - Gordeev,V F, AU - Lysenko,A O, PY - 1991/10/1/pubmed PY - 1991/10/1/medline PY - 1991/10/1/entrez SP - 58 EP - 64 JF - Khirurgiia JO - Khirurgiia (Mosk) IS - 10 N2 - Experience in the treatment of 70 patients with stenotic duodenal ulcer by surgery is generalized. In addition to SPV the patients underwent duodenoplasty as a draining operation. There were 61 (87.1%) males and 9 (12.9%) females. Their ages ranged from 18 to 70 years. The stenosis was compensated in 21 (30%), ++non-compensated in 32 (45.7%), and decompensated in 17 (24.3%) patients. To determine the possibility of performing SPV, the maintenance of the gastric contractile activity was studied by noninvasive methods: computed peripheral electrogastrography and computed gastro-scintigraphy. Involvement of the pylorus into the cicatricial-ulcerous inflammatory infiltration is the main contraindication for duodenoplasty. In view of that, intensive 2-3 week preoperative antiulcer therapy acquires particular significance; it removes or reduces significantly the inflammatory infiltration in most cases and raises the possibility of conducting duodenoplasty. Only intraoperative inspection of the pyloroduodenal segment allows the possibility and type of pylorus -preserving duodenum draining operation to be determined. This operation can be undertaken if the proximal boundary of the stenotic cicatricial-ulcerous deformity is at a distance of at least 1 cm from the pyloric sphincter, whatever the degree and length of the narrowing. A total of 43 operations form the Heineke-Mikulicz Mikulicz duodenoplasty, 17 for Finney's pyloroplasty, and 10 for bulbo-duodenostomy were carried out. The authors consider excision of the duodenal ulcer to be expedient and safe only when it is located on the anterior wall; it was carried out in 9 cases.(ABSTRACT TRUNCATED AT 250 WORDS) SN - 0023-1207 UR - https://www.unboundmedicine.com/medline/citation/1803094/[Selective_proximal_vagotomy_and_duodenoplasty_in_surgical_treatment_of_stenotic_duodenal_ulcer]_ DB - PRIME DP - Unbound Medicine ER -