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  • Title: [The principles of the surgical treatment of peptic ulcer of the anastomosis and jejunum].
    Author: Spivak VP, Bereznitskiĭ IaS.
    Journal: Vestn Khir Im I I Grek; 1990 Nov; 145(11):24-8. PubMed ID: 1966157.
    Abstract:
    The authors disposing of a great number of observations of patients operated upon for peptic ulcer of the anastomosis (570), give an account of main principles of performing surgical procedures. They are: the detection and elimination of the causes of the anastomosis ulcer, wider use of truncal vagotomy, and for gastro-intestino-colonic fistula a less traumatic intervention should be chosen--the disconnection of the fistula and suturing the colon. The ways of reduction of postoperative lethality of the patients with this severe disease are shown.
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