[Methods for reducing risk of complications after Billroth-1 resection of the stomach]

An analysis of surgical treatment of 102 patients with complicated pyloroduodenal ulcers has shown that vast infiltration and scary alterations in the ulcer area, its penetration, stenosis as well as the presence of tension of gastroduodenal anastomosis are risk factors for performing resection of the stomach after Billroth-1. In order to eliminate these factors the author used a technically correct elimination of the deformity of the duodenum. The additional application of extraorganic traction sutures and intraoperative dystopia of the duodenum allowed to complete the operation of resection of the stomach in most patients by putting a direct gastroduodenal anastomosis. In 29.4% of cases it was not possible to eliminate the risk factors in question by the well-known methods. So, the patients underwent resection of the stomach by Billroth-II method.