Abstract :

The authors analyzed the results of surgical treatment of 479 patients with pyloroduodenal ulcer (PDU). Of these, 381 (79.5%) made up the main group (who underwent excision of the PDU with pylorus–preserving duodenoplasty), and 98 (20.5%) – the comparison group, i.e. control (underwent excision of PDU with pylorus–destroying pyloroduodenoplasty). In the long term after the operations performed, 310 patients were studied after excision of the PDU with pylorus–sparing PD and 82 after PDP with destruction of the integrity of the pylorus sphincter. As a result of optimization of surgical tactics and widespread use of techniques and techniques for excision of PDU with pylorus–sparing DP, excellent and good results in the main group were found in 87.7% of patients (in the control group – 64.4%). Satisfactory results in 12 (3.9%) and 9 (11.0%) patients, respectively. At the same time, unsatisfactory results decreased by 7.1% (in the control group – in 11.0%, in the study group – in 3.9%). Thus, the authors, through the widespread use of techniques and techniques for excision of PDU with pylorus–sparing PD with optimization of surgical tactics, have improved the long–term results of surgical treatment in this pathology.

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Keywords :

Duodenoplasty, Peptic ulcer, Perforated duodenal ulcer, Perforation, Pyloroduodenoplasty.

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References :

1. Antonyuk S.M., Grintsov G.A., Akhrameev V.B. Issues of the validity of operations for perforated gastric and duodenal ulcers // University Clinic. – 2016. – Volume 12, Issue 1, – p. 12–14.
2. Garelik P.V., Dubrovshchik O.I., Dovnar I.S. Perforated gastroduodenal ulcers: a look at the problem of choosing a method of surgical treatment // News of Surgery. – 2014. – Volume 22, Issue 3, – p. 321–325.
3. Kulchiev A.A., Morozov A.A., Tigiev S.V. The results of suturing perforated pyloroduodenal ulcers in the long–term period // Almanac of the Institute of Surgery. – 2015. – Volume 10, Issue 2, – p. 56–59.
4. Sukovatykh B.S., Gureev I.I., Novomlinets Yu.P. Long–term results of surgical treatment of gastric and duodenal ulcer complicated by perforation // Kursk scientific and practical bulletin. – 2017 (3), – p. 30–36.
5. Bupicha J.A., Gebresellassie H.W., Alemayehu A. Pattern and outcome of perforated peptic ulcer disease patient in four teaching hospitals in Addis Ababa, Ethiopia: a prospective cohort multicenter study. BMC Surg. 2020, June 15, 20 (1), – p.
6. Konishi T., Fujiogi M., Michihata N., Kumazawa R, Matsui H, Fushimi K, Tanabe M, Seto Y, Yasunaga H. Outcomes of nonoperative treatment for gastroduodenal ulcer perforation: Nationwide study of 14, 918 inpatients in Japan. J Gastrointest Surg. 2021.
7. Seyoum N., Ethicha D., Assefa Z., Nega B. Risk factors that affect morbidity and mortality in patients with perforated peptic ulcer diseases in a Teaching Hospital. Ethiop J Health Sci. 2020, July 1, 30 (4), – p. 549–
8. Schein Kin Tong, Shelat Vishalkumar G. Perforated peptic ulcer – an update. World J Gastrointest Surg. 2017, January 27, 9 (1), – p. 1–12.