Sverdlov V B
Vestn Khir Im I I Grek. 1975 Jan;114(1):132-5.
Among 356 gastric resections of the Billroth 11 type performed for ulcerous disease there were 11 cases of suture incompetency of the duodenal stump (3.1%). This complication was mainly caused by technical difficulties arising in operations under complicated anatomical conditions and tactical errors of a surgeon in selection of the technic of the stump suturing. The treatment of the duodenal stump suture incompetency consisted in urgent relaparotomy with a tramponade and drainage at the site of incompetency and application of a complex of conservative measures. During the first days after relaparotomy a drainage is connected into a pump-aspirator. In case of complicated duodenal ulcers resection with the aim of "ulcer exclusion" seems to be rational.
在因溃疡病施行的356例毕罗Ⅱ式胃切除术中，有11例十二指肠残端缝合不愈合（3.1%）。这种并发症主要是由于在复杂解剖条件下手术时出现的技术困难以及外科医生在选择残端缝合技术方面的策略性失误所致。十二指肠残端缝合不愈合的治疗包括紧急再次剖腹，在不愈合部位进行填塞和引流，并采用一系列保守措施。再次剖腹后的头几天，将引流管连接到泵吸器上。对于复杂的十二指肠溃疡，以“溃疡旷置”为目的的切除术似乎是合理的。
