["Difficult" duodenal stump in emergency surgery of duodenal ulcer]

Analysis of surgical prophylactic measures of sutures insufficiency of difficult duodenal stump in stomach resection by Bilrot-II in 110 patients with complications of duodenal ulcers required urgent surgery are presented. In study group (43 patients) complex approach to surgical prophylactic measures including diagnosis and correction of chronic disorders of duodenal passability (revealed in 69.8% cases) and individualization of suturing method of duodenal stump was used. In control group (67 patients) traditional external drainage of stump was used as a main prophylactic measure in high risk of complications, method of stump treatment was not individual. Suture insufficiency of duodenal stump was revealed only in control group in 10.4% (7 patients) with 57.1% mortality (4 patients died). General lethality in Group 1 was 4.7% (2 patients), in 2nd--13.4% (9 patients), 6% operated of them died due to insufficiency of duodenal stump. In the structure of death causes, duodenal stump suture incompetence heads the list (44.4%).