[Ways to increase the competence of sutures of the duodenal stump in the surgical treatment of complicated gastroduodenal ulcers].

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.