RESUMO
It was proposed the method of organ-preserving surgical treatment of chronic ulcers of back wall of duodenal bulb complicated by decompensated stenosis and penetration in intrapancreatic part of common bile duct (RF patent number 2476164 from 27.02.2013). 12 patients were operated by using of this technique. One patient had post-operative pancreatitis. There were not lethal outcomes.
Assuntos
Constrição Patológica/cirurgia , Procedimentos Cirúrgicos do Sistema Digestório , Úlcera Duodenal , Duodeno/cirurgia , Pancreatite , Complicações Pós-Operatórias/terapia , Adulto , Doença Crônica , Constrição Patológica/etiologia , Constrição Patológica/fisiopatologia , Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Úlcera Duodenal/diagnóstico , Úlcera Duodenal/fisiopatologia , Úlcera Duodenal/cirurgia , Duodeno/patologia , Duodeno/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Tratamentos com Preservação do Órgão/métodos , Pancreatite/etiologia , Pancreatite/terapia , Resultado do TratamentoRESUMO
Two original organ-saving surgical technologies are suggested for surgical prophylaxis of bleedings from esophageal and gastric varicose veins dilatation. The azygoportal disconnection surgery has been performed at 42 patients. The rate of bleeding recurrences was 4.8%. This surgical procedure may be regarded as the stage of complex treatment of patients with liver cirrhosis and as the final treatment at the patients with extrahepatic portal hypertension.
Assuntos
Veia Ázigos/cirurgia , Varizes Esofágicas e Gástricas/cirurgia , Hemorragia Gastrointestinal/prevenção & controle , Veia Porta/cirurgia , Procedimentos Cirúrgicos Vasculares/métodos , Adulto , Varizes Esofágicas e Gástricas/complicações , Feminino , Seguimentos , Hemorragia Gastrointestinal/etiologia , Humanos , Ligadura , Masculino , Estudos Retrospectivos , Prevenção Secundária , Fatores de Tempo , Resultado do TratamentoRESUMO
Experience in surgical treatment of bleedings from varicose veins of the esophagus and stomach is analyzed. Two new methods of azygo-portal separation are offered, indications and contraindications, main principles of treatment before and after surgery, short- and long-term results are described.