Ways to increase the competence of sutures of the duodenal stump in the surgical treatment of complicated gastroduodenal ulcers
Papazov, F.K.; Vasilenko, L.I.
Vestnik Khirurgii Imeni I. I. Grekova 142(2): 111-113
1989
ISSN/ISBN: 0042-4625 PMID: 2658271 Document Number: 336922
The authors have made an analysis of their experience with the treatment of 119 patients who had tubular resections of the stomach with the anastomozed gastric stump to the side with the obliquely dissected short loop of the jejunum. Specific methods of treatment of a "difficult" duodenal stump and measures to prevent its incompetence are described. In order to increase the reliability of the duodenal stump sutures a complex of measures directed to the elimination of duodenal hypertension and adequate drainage of the periduodenal zone is to be used.