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[Suprapyloric resection of stomach in patients with ulcer disease]
Abstract:
Suprapyloric transversal resection of the stomach is one of relatively sparing methods of surgical treatment for ulcerative disease. In Medical Centre of "VAZ", suprapyloric resection of the stomach was carried out as a method of treatment of gastric ulcer in 181 patients (study group) and 139 patients underwent resection 2/3 of the stomach by Billroth-1 (control group). The ulcer located in cardial and mediogastric regions (1 type by Johnson). Among the patients of study group postoperative lethality made up 1.1%. Follow-up results of operative treatment was quite favourable in 96.3% of cases and unsatisfactory--in 3.7% (persistent pylorospasm). In control group follow-up results of surgical treatment in 86.4% were appraised as excellent and good, in 13.6%--satisfactory due to postoperative development of damping-syndrome. Comparison of results of follow-up examination in two groups of operated patients has evidenced of the best functional results after performance of suprapyloric resection of the stomach.
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