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  • Title: [Immediate results of surgical treatment of gastroduodenal ulcer hemorrhage].
    Author: Gegechkori IuA, Neliubin AF, Gegechkori ZIu.
    Journal: Vestn Khir Im I I Grek; 1991 Mar; 146(3):14-6. PubMed ID: 1654624.
    Abstract:
    From 1979 till 1989 the authors made operations on 145 patients with gastroduodenal ulcerous bleedings, 87 of them were people of young and middle age. Vagotomy with pyloroplasty was successfully used in 110 patients with duodenal ulcerous bleedings. The method of choice at the peak of bleeding from the duodenal ulcer is thought by the authors to be subdiaphragmatic+ vagotomy with pyloroplasty after Heineke--Mikulicz. For delayed operations the authors prefer SPV with pyloroplasty after Finney. The authors consider that pyloroplasty after Finney excludes reflux of the duodenum content to the stomach and the dumping syndrome. Classical gastric resection is thought by the authors to have no alternative for gastric ulcerous bleedings. The authors think that emergency operation is the only correct method for continuing bleeding. Delayed operations were performed on patients with cupped bleeding and massive blood loss, as well as for recurrent bleeding independent of the degree of blood loss and as a rule within the first 24 hs. General lethality was 4.8% and after organ preserving operations--1.8%. In 95.2% of cases good immediate results were obtained, which allows the method to be recommended for wide practice in cases of gastroduodenal ulcerous bleedings.
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