Modified Methods and Technical Techniques of Operations for "Difficult" Duodenal Ulcers

ABSTRACT In elective surgery of duodenal ulcers (DU), postoperative mortality reaches 4–6%, with perforation of the ulcer – 5–8%, with bleeding – 20–30%. At the same time, the leading cause of mortality is the failure of the duodenal stump, which occurs in 0.4–4.4% of patients, which significantly increases with gastric cancer due to “difficult” duodenal ulcers. The authors have developed improved methods and techniques that ensure the safety of surgical intervention in case of “difficult” DU and facilitate its technical implementation. As a result, the authors reduced the incidence of postoperative complications associated with the technique of gastric surgery to 7.2% (in the control group – 19.3%), as well as mortality to 1.2% (in the control group 9.0%).

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