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  • Title: [Comparative results of surgical treatment for perforating and bleeding pyloroduodenal ulcers].
    Author: Gorbunov VN, Sytnik AP, Korenev NN, Gordeev SA, Stoliarchuk EV, Urzhumtseva GA.
    Journal: Khirurgiia (Mosk); 1998; (9):14-7. PubMed ID: 9791983.
    Abstract:
    Results of treatment of 1309 patients with perforated and bleeding pyloroduodenal ulcers for 20-years period have been analysed. Resection of the stomach performed in 85 cases resulted in high postoperative lethality which made up in bleeding ulcers 14.8%. Drainage operations of the stomach with excision or suturing of ulcer combined with bilateral truncal vagotomy was performed in 60 patients, postoperative lethality rate being 8.4%. 128 patients underwent selective proximal vagotomy together with pyloro- and duodenoplasty, lethality rate being 1.6%. Combined vagotomy (posterior truncal and anterior sero-muscular) with excision of ulcer, transversal pyloroplasty and duodenoplasty was carried out in 1036 patients (postoperative lethality--2.4%). Excellent and good functional results were achieved in 79.6% of the patients.
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