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  • Title: [Incompetence of duodenal stump sutures after stomach resection in ulcer disease].
    Author: Sverdlov VB.
    Journal: Vestn Khir Im I I Grek; 1975 Jan; 114(1):132-5. PubMed ID: 775735.
    Abstract:
    Among 356 gastric resections of the Billroth 11 type performed for ulcerous disease there were 11 cases of suture incompetency of the duodenal stump (3.1%). This complication was mainly caused by technical difficulties arising in operations under complicated anatomical conditions and tactical errors of a surgeon in selection of the technic of the stump suturing. The treatment of the duodenal stump suture incompetency consisted in urgent relaparotomy with a tramponade and drainage at the site of incompetency and application of a complex of conservative measures. During the first days after relaparotomy a drainage is connected into a pump-aspirator. In case of complicated duodenal ulcers resection with the aim of "ulcer exclusion" seems to be rational.
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