[Surgical tactics in ulcerous pyloroduodenal stenosis]

The authors generalize their experience in the treatment of 528 patients with ulcerous pyloroduodenal stenosis, who accounted for 19.3% of all patients who were operated on and for 29.8% of those with complicated forms of peptic ulcer. All the patients underwent operation after brief (2-3 days) replacement of hydrogen ion deficiencies. Resection of the stomach was carried out in 418 patients, organ-preserving operations-in 102, gastroenteroanastomosis-in 8 patients. Total mortality was 2.5%. There were no fatal outcomes in organ-preserving operations. The incidence of postoperative gastric atony was 6.1% after organ-preserving operations and 4.9% after resection of the stomach.