[The combination of ulcer disease and pancreatitis in surgical practice]

Results of treatment of 1203 patients, admitted to the hospital for an acute pancreatitis and its aggravation, were analyzed. Earlier 414 (34.5%) patients were operated for ulcer disease (UD), in 126--suturing of perforated ulcer was performed, in 159--selective proximal vagotomy with pyloroplasty, in 129--resection of stomach. After clinical examination UD of stomach was diagnosed in 141 (11.7%) patients, UD of duodenum--in 1062 (88.3%). Diagnosis of pancreatitis and UD was established basing on clinical data, instrumental, biochemical, laboratory, ultrasonic and other methods of investigation. Complex therapy was effective in 998 patients. For destructive pancreatitis 78 patients were operated, of them 9 (11.5%) died. For complication of UD on background of pancreatitis (perforation of ulcer--in 71 observation, hemorrhage--in 39, the gastric outlet stenosis--in 19) 127 patients were operated, 12 (9.5%) died. Application in complex therapy of lymphosorption and hemosorption using xenospleen had promoted the lowering of postoperative lethality.