[Surgical prevention of postresection reflux-gastritis]

Area of Science:

• Gastroenterology
• Surgical Innovation
• Medical Technology

Background:

• Complicated gastric and duodenal ulcers require effective surgical interventions.
• Post-resection complications like reflux gastritis and suture insufficiency remain significant challenges.

Purpose of the Study:

• To introduce and evaluate two original methods for creating transverse terminolateral gastroduodenoanastomosis.
• To assess the efficacy of these methods in preventing post-resective complications and improving patient outcomes.

Main Methods:

• Surgical treatment of 331 patients with complicated gastric and duodenal ulcers.
• Application of two novel gastroduodenoanastomosis techniques in 129 patients.
• Comprehensive evaluation using biochemical, endoscopic, X-ray, ultrasonic, and morphological examinations.

Main Results:

• The proposed surgical methods demonstrated advantages in stomach resection.
• These techniques facilitated a portion-tardive type of gastric evacuation.
• A lower incidence of post-resective pathological states was observed in patients treated with the new methods.

Conclusions:

• The novel gastroduodenoanastomosis techniques are effective in surgical prophylaxis of post-resective reflux-gastritis.
• These operations reduce the risk of sutures insufficiency.
• The proposed methods are recommended as preferred choices for surgical treatment of gastric and duodenal ulcers.