[Characteristics of stomach-draining operations in organ-sparing interventions in duodenal ulcer]

The incidence of duodenogastric reflux (DGR) was studied in 241 of 376 patients operated upon for duodenal ulcers. Rentgenological, endoscopic and laboratory examinations were performed prior to and after vagotomy and vagotomy with draining operations. A great number of DGR was established in all variants of operations. With the help of multifactorial analysis it was shown that the Finney pyloroplasty was followed by greater amount of postvagotomy complications than gastroduodenal anastomosis (GDA) after Jaboulay. A new variant of the transverse GDA between the stomach and duodenum is proposed. The operative technique is described giving better results than GDA after the Jaboulay and Finney pyloroplasty. Choice of the method of draining operation is dependent on certain conditions. Recommendations are given.