[Surgical treatment of gastroesophageal reflux disease combined with duodenal ulcer].

Operations for ulcer disease of the duodenum were performed on 696 patients. In 112 (16.1%) patients there were symptoms of insufficient obturating function of the cardia, which was considered to be an indication to antireflux simultaneous operation on the cardia. The indications were worked out for the decision on operative methods in patients with ulcer disease of the duodenum in combination with gastroesophageal reflux disease. Methods of resection were used in 88 (78.5%) patients, videolaparoscopic selective proximal vagotomy with an original means of fundoplication--in 24 (21.5%) patients. Good and excellent long-term results after operation were noted in 95.5% of the patients.

[Correction of the motor-evacuation function of the postoperative stomach in the early postoperative period].

We conducted the analysis of the results of surgical treatment of 255 patients with duodenal ulcers. In the early postoperative period the evacuation and motility function of the postoperative stomach was corrected with the use of the autonomous electrostimulator of the gastrointestinal tract (EAS GT) in all patients - in the main group (n = 125) and drug stimulation (cerucal 2.0 intramuscularly twice a day) and in the control group (n = 130). The use of EAS GT-3 certainly reduces symptoms of dyscoordination of the motor function of the gastrointestinal tract.

[Method of selective proximal vagotomy]. / Sposob selektivnoi proksimal'noi vagotomii.

A method of selective proximal vagotomy has been developed experimentally. It provides additional parasympathetic denervation of an acid-producing zone of the stomach by means of circular transsection of gastric and esophageal muscular membranes above and below cardial sphincter with forming of are flux esophageal-gastric valve. Clinical use of this method in 75 patients confirmed experimental data about a good function of the created valve and adequate decrease of acid production. This improved short and long-term results and reduced the time of temporary disability.

[Surgical treatment of complicated duodenal ulcer: experience and prospects]. / Khirurgicheskoe lechenie oslozhnennykh duodenal'nykh iazv: opyt i perspektiva.

The article discloses the results of the surgery of 696 patients with completed duodenal ulcers. The organ-preserving treatment was provided for 31.8% of patients, and stomach resection was performed on 68.2% of patients. Postoperative mortality was found to be 0.6% and was not related to the surgery nature. The postoperative term of hospital treatment made up 11.8 +/- 2.4 days. A complex hospital examination of patients during early and late postoperative periods showed that methods for treatment of complicated duodenal ulcers with the use of new surgical technologies allow choosing an optimum operation providing a high level of life quality.

[Surgical treatment of gastric and duodenal ulcer disease with chronic duodenal obstruction]. / Khirurgicheskoe lechenie iazvennoi bolezni zheludka i dvenadtsatiperstnoi kishki na fone khronicheskoi duodenal'noi neprokhodimosti.

One hundred and twenty-nine surgeries were performed from 1990 to 2001 for gastric (50) or duodenal (79) ulcers with chronic duodenal obstruction. Resection of 1/2 of the stomach by Bilrot-I was performed in 118 patients, pylorus-saving resection with creation of areflux valve in duodenal bulb--in 5, selective proximal vagotomy with duodenoplasty--in 6 patients. In early postoperative period complications were seen in 10 (10.9%) patients, postoperative lethality was 0.8% (one patient died). There was no insufficiency of anastomotic sutures. Postoperative stay was 11.3 +/- 1.5 days. In remote period after surgery symptoms of chronic pancreatitis was in 2.3% patients, but there were no symptoms of duodenostasis. Roentgenological symptoms of compensated duodenal obstruction were seen in 2 patients operative on for decompensated duodenostasis. These patients had no complaints.