[Clinical features and surgical treatment of postbulbar ulcers of the duodenum].Khirurgiia (Mosk) 1989; (10):29-34K
Experience in the treatment of 1,087 patients with postbulbar duodenal ulcers is discussed. Complications were found in 1,014 of them; penetration occurred in 707 patients, in combination with stenosis in 247, with hemorrhage in 251, and with both of these complications in 11 patients. In 139 patients the only complication was acute bleeding, in 38, stenosis, and in 30 patients, perforation. Operative treatment was carried out in 1,075 patients; resection of the stomach for exclusion was conducted in 458, selective proximal vagotomy in 24, closure of the perforated ulcer in 13, and stitching of the bleeding vessel with Heineke-Mikulicz pyloroplasty in 18 patients. The mortality was 2.6%. Study of the late results in follow-up periods of 2 to 35 years showed good results in 90.8% of cases.