RESUMEN
The experience of surgical treatment of 10 patients with external intestinal fistulae was analyzed. The plot of the operation was to exlude the duodenum from the digestion by performing the retrocolic gastroenteroanastomosis after Roux or on the ultrashort loop. Early operation prevent septic complications and electrolyte disbalance. Duodenal fistulae, developed on the background of pancreonecrosis or after endoscopic retrograde cholangiopancreaticography, necessitate the external choledochial drainage.
Asunto(s)
Enfermedades Duodenales/cirugía , Duodeno/cirugía , Gastroenterostomía , Fístula Intestinal/cirugía , Adulto , Anciano , Colangiopancreatografia Retrógrada Endoscópica/efectos adversos , Enfermedades Duodenales/diagnóstico , Enfermedades Duodenales/etiología , Enfermedades Duodenales/fisiopatología , Duodeno/diagnóstico por imagen , Intervención Médica Temprana/métodos , Endoscopía Gastrointestinal , Femenino , Gastroenterostomía/efectos adversos , Gastroenterostomía/métodos , Humanos , Fístula Intestinal/diagnóstico , Fístula Intestinal/etiología , Fístula Intestinal/fisiopatología , Masculino , Desnutrición/etiología , Desnutrición/terapia , Persona de Mediana Edad , Pancreatitis Aguda Necrotizante/complicaciones , Periodo Perioperatorio/efectos adversos , Periodo Perioperatorio/métodos , Complicaciones Posoperatorias/prevención & control , Resultado del Tratamiento , Desequilibrio Hidroelectrolítico/prevención & controlRESUMEN
New surgical technique for treatment of "low" duodenal ulcers--transversal posterior retrocolic gastroenteroanastomosis with selective proximal vagotomy--was worked out and introduced by the authors. 78 patients (61 men and 17 women at the age of 14-76 years) with "low" duodenal ulcers were operated using this technique during 1982-2007 years. Short-term and long-term results of treatment were studied. Advantages of this technique and indications for the operations were determined. Obtained results indicate that this surgical approach is reliable and effective and can be applied in clinical practice.
Asunto(s)
Drenaje/métodos , Úlcera Duodenal/cirugía , Vagotomía Gástrica Proximal , Adolescente , Adulto , Anciano , Anastomosis Quirúrgica , Úlcera Duodenal/complicaciones , Duodeno/cirugía , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias , Estómago/cirugía , Factores de Tiempo , Resultado del TratamientoRESUMEN
In the ulcer pyloroduodenal stenosis the stages of complete and noncomplete decompensation are suggested. In 73% of observations, while performing an adequate preoperative preparation it was possible to convert pyloroduodenal stenosis from the stage of complete decompensation into the stage of noncomplete decompensation, in which the performance of organpreserving operation is possible. In the patients, suffering pyloroduodenal stenosis in the stage of noncomlete decompensation, resection of 2/3 of stomach is performed.
Asunto(s)
Constricción Patológica/epidemiología , Constricción Patológica/cirugía , Procedimientos Quirúrgicos del Sistema Digestivo/métodos , Úlcera Duodenal/epidemiología , Úlcera Duodenal/cirugía , Estenosis Pilórica/epidemiología , Estenosis Pilórica/cirugía , Antiulcerosos/uso terapéutico , Úlcera Duodenal/tratamiento farmacológico , Humanos , Cuidados Preoperatorios , Estómago/cirugíaRESUMEN
Photodynamical and chromoesophagoscopic diagnostics in recognizing of Barrett disease are described in the article. The indications for surgical treatment of esophagogastric reflux disease are presented.