SURGICAL METHOD FOR TREATING THE CASES OF GIANT LOW-POSITIONED DUODENAL ULCERS AGGRAVATED BY PENETRATION

摘要

FIELD: medicine.;SUBSTANCE: method involves exposing Santorini duct end in ulcer crater. Omentoplastic repair of the crater is carried out. Duct is conducted through pierce in the omentum. Duct width being not greater than 2 mm, the duct is conducted through pierce in the posterior wall of proximal or distal duodenal stump. The duct is fixed on pierce boundary so that its end overhangs into intestine lumen. Radical duodenoplasty is applied. The duct being 3-5 mm wide, it is sutured into posterior line of duodenal anastomosis or into posterior line of posterior line of duodenal wound when carrying out radical duodenoplasty operation.;EFFECT: enhanced effectiveness of treatment.;19 dwg