Bondarev V I, Ablitsov N P, Baziak A P, Iakovleva I M
Khirurgiia (Mosk). 1995(6):17-20.
Surgical treatment of 293 patients with diseases of an operated on stomach is analysed. Relapse of peptic ulcer after closure of a perforation was encountered in 170 patients, the dumping syndrome in 54, peptic ulcer of the anastomosis in 60, the afferent loop syndrome in 6, and a rare type of diseases of an operated on stomach in 3 patients. Classification of diseases of an operated on stomach according to the syndromes and differential diagnosis of functional syndromes are presented. Indications for surgical correction depending on the type and severity of the pathological condition were developed. The late-term results were studied in 266 patients. The results were good in 72%, satisfactory in 21%, and poor in 7% of cases. The late-term results in surgical correction of functional syndromes were good in 29%, satisfactory in 51.6%, and poor in 13.5% of patients. Mortality after all repeated operation was 1.3%.
对293例接受胃部手术疾病患者的手术治疗进行了分析。170例患者在穿孔闭合后出现消化性溃疡复发,54例出现倾倒综合征,60例出现吻合口消化性溃疡,6例出现输入袢综合征,3例患者出现罕见类型的胃部疾病。介绍了根据综合征对胃部疾病进行的分类以及功能性综合征的鉴别诊断。根据病理状况的类型和严重程度制定了手术矫正的指征。对266例患者的远期结果进行了研究。结果良好的占72%,满意的占21%,差的占7%。功能性综合征手术矫正的远期结果中,29%的患者结果良好,51.6%的患者结果满意,13.5%的患者结果差。所有再次手术后的死亡率为1.3%。