[One-stage segmental pylorus-preserving resection of the stomach and duodenum in stenosing duodenal ulcer]

The analysis of the results of surgical treatment of 32 patients with duodenal ulcer disease complicated by postpyloric stenosis of the duodenum, using the original technique--combination of selective proximal vagotomy with segmental pylorus-preserving resection of the stomach and duodenum was carried out. A good immediate and long-term result was noted, there were no ulcer recurrences. Such an operative intervention is expedient in stenosing duodenal ulcer, its combination with a gastric ulcer, and as well in postvagotomy ulcer recurrency developing against the background of high gastric acid production.