[Effectiveness of duodenal ulcer surgical treatment]

Effectiveness of medical aid means prevented loss of health due to optimal treatment. Measurement of effectiveness of surgical treatment could be realised by measurement of patients' quality of life. For the first time the authors have described a method for evaluation of effectiveness of surgical treatment for duodenal ulcer by studying quality of life of the patients in postoperative period. For this purpose original questionnaire ("IKG FKhK") was designed which enables to assess a common level of life quality and its components and to compare these values with those of healthy people. The authors have examined 351 patients after 8 types of operations: TPV, TPV with duodenoplasty, TPV with gastric drainage procedure, truncal vagotomy with gastric drainage procedure, truncal vagotomy with antrumectomy and anastomoses by Billroth-I and ROUX, as well as resection of 2/3 of the stomach by Billroth-I and Billroth-II. According to the examination data, it was established, that quality of life in patients after truncal vagotomy with antrumectomy by ROUX more precisely corresponded to values of healthy people and the possibility of obtaining "good" and "excellent" results was the highest. The minimal probability to reach the level of the quality of life of healthy people after resection of the stomach is resection of its 2/3. The authors have determined the influence of the type of surgical treatment, the terms after operation, patients' age, functional results (the values of gastric secretion, rate and character of evacuation of food from the stomach, duodenal reflux, etc.), manifestations of the disease of operated stomach. The authors established, that quality of treatment (adequate solution of technical and tactical problems) predetermines quality of life of the patients with duodenal ulcer in postoperative period.