Khadzhibaev A M, Eshbekov M E, Baĭbekov I M
Vestn Khir Im I I Grek. 1996;155(4):57-9.
Causes of the incompetence of stump sutures in resection of the stomach observed in 90 out of 3479 patients with chronic duodenal ulcers were analyzed. Most patients were found to have a combination of general and local factors. Among the local factors the leading one was appearance of a large inflammatory infiltration around the "active" ulcers. The endoscopic autohemoapplication to the ulcer included in the complex of preoperative preparation of the patients reduced the frequency of incompetence of sutures from 2.58% to 1.33%.
对3479例慢性十二指肠溃疡患者中的90例在胃切除术中残端缝合不愈合的原因进行了分析。发现大多数患者存在全身和局部因素的综合作用。在局部因素中，主要因素是“活动性”溃疡周围出现大量炎性浸润。在患者术前准备综合措施中采用内镜下溃疡自体血液喷洒，使缝合不愈合的发生率从2.58%降至1.33%。
