The principles of the surgical treatment of peptic ulcer of the anastomosis and jejunum
Spivak, V.P.; Bereznitskiĭ, I.S.
Vestnik Khirurgii Imeni I. I. Grekova 145(11): 24-28
1990
ISSN/ISBN: 0042-4625 PMID: 1966157 Document Number: 364832
The authors disposing of a great number of observations of patients operated upon for peptic ulcer of the anastomosis (570), give an account of main principles of performing surgical procedures. They are: the detection and elimination of the causes of the anastomosis ulcer, wider use of truncal vagotomy, and for gastro-intestino-colonic fistula a less traumatic intervention should be chosen--the disconnection of the fistula and suturing the colon. The ways of reduction of postoperative lethality of the patients with this severe disease are shown.