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Some Technical and Tactic Issues of Closing of Duodenum Stump in Case of Low and Penetrated Ulcers

Anzor Arveladze

Department of General Surgery of Tbilisi Postgraduate Education Medical Academy, Georgia

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2003 volume 3, Issue 3
pg :
171-4

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Closure of duodenum stump in cases of low complicated ulcers is one of the hard stages of stomach resection according Bylroth's II method. For closing the duodenal stump the author has technically improved and applied the approved methods of Judin, Masliak, Saposhkov and others in treatment of 70 patients having complicated low ulcers of the duodenum. After the operation one patient has developed insufficiency of the duodenal stump. The obtained data confirm that the well-grounded choice of optimal methods of duodenal stump closure can diminish to the minimum level of the suture insufficiency.

Keywords:  duodenum, penetrated ulcer, stump

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