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[Surgical treatment of postbulbar duodenal ulcers].
Khirurgiia (Mosk) 1997; (5):4-9K

Abstract

The results of the surgery in 121 patients with post-bulbar duodenal peptic ulcers (8.5% of all cases of duodenal ulcer) are analysed. In 72.7% the ulcer was complicated with the duodenal stenosis, in 41.3%--with the penetration, in 5.8%--choledochoduodenal fistulas. In 41.3% of the patients the course of ulcer was complicated with bleeding and in 8.3% with perforation. In 18 (14.9%) patients gastric resection was performed with total removal of the ulcer (8) or its remaining pait (10). There were no cases of mortality. In 5 cases there was postoperative pancreonecrosis. Long-term follow up results were evaluated with the use of the Visick' method. Satisfactory results were achieved in 12 patients, unsatisfactory results--in 2 patients. There were no cases of excellent and good results. Selective proximal vagotomy (SPV) was performed in 34 patients, SPV and draining operation--in 28 patients, SPV and duodenoplasty-in 41 patients. There were no mortality and serious complications. Better results were achieved with the use of SPV and duodenoplasty.

Authors+Show Affiliations

Institute of Surgery of AV Vishnevskií, Moscow.No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

rus

PubMed ID

9297023

Citation

Posmelov, V S., et al. "[Surgical Treatment of Postbulbar Duodenal Ulcers]." Khirurgiia, 1997, pp. 4-9.
Posmelov VS, Kubyshkin VA, Kozlov IA. [Surgical treatment of postbulbar duodenal ulcers]. Khirurgiia (Mosk). 1997.
Posmelov, V. S., Kubyshkin, V. A., & Kozlov, I. A. (1997). [Surgical treatment of postbulbar duodenal ulcers]. Khirurgiia, (5), pp. 4-9.
Posmelov VS, Kubyshkin VA, Kozlov IA. [Surgical Treatment of Postbulbar Duodenal Ulcers]. Khirurgiia (Mosk). 1997;(5)4-9. PubMed PMID: 9297023.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical treatment of postbulbar duodenal ulcers]. AU - Posmelov,V S, AU - Kubyshkin,V A, AU - Kozlov,I A, PY - 1997/1/1/pubmed PY - 1997/9/20/medline PY - 1997/1/1/entrez SP - 4 EP - 9 JF - Khirurgiia JO - Khirurgiia (Mosk) IS - 5 N2 - The results of the surgery in 121 patients with post-bulbar duodenal peptic ulcers (8.5% of all cases of duodenal ulcer) are analysed. In 72.7% the ulcer was complicated with the duodenal stenosis, in 41.3%--with the penetration, in 5.8%--choledochoduodenal fistulas. In 41.3% of the patients the course of ulcer was complicated with bleeding and in 8.3% with perforation. In 18 (14.9%) patients gastric resection was performed with total removal of the ulcer (8) or its remaining pait (10). There were no cases of mortality. In 5 cases there was postoperative pancreonecrosis. Long-term follow up results were evaluated with the use of the Visick' method. Satisfactory results were achieved in 12 patients, unsatisfactory results--in 2 patients. There were no cases of excellent and good results. Selective proximal vagotomy (SPV) was performed in 34 patients, SPV and draining operation--in 28 patients, SPV and duodenoplasty-in 41 patients. There were no mortality and serious complications. Better results were achieved with the use of SPV and duodenoplasty. SN - 0023-1207 UR - https://www.unboundmedicine.com/medline/citation/9297023/[Surgical_treatment_of_postbulbar_duodenal_ulcers]_ DB - PRIME DP - Unbound Medicine ER -