[Functional state of gastrointestinal anastomoses after repeated gastric resection].

Long-term follow-up of 144 patients with different types of gastrointestinal anastomoses after repeated and reconstructive operations was gained. Endoscopic and roentgenological data, as wall as data of electrogastrointestinography were assessed. Hystological samples of gastric stump and efferent intestinal loop were analyzed.

[Surgical treatment of gastric ulcers with correction of ulcerogenic zone and function of the organ].

The results of surgical treatment of 36 patients with gastric ulcers are analyzed. All these patients have undergone resection of 1/2 stomach with excision of the lesser curvature and creation of end-to-end gastroduodenoanastomosis (GDA, n=21), terminolateral GDA (n=2), antiperistaltic horizontal gastroenteroanastomosis (GEA, n=8) and isoperistaltic GEA (n=5). Five-year follow-up demonstrates good results of gastric resection with excision of the lesser curvature in patients with gastric ulcer.

[Resection of the stomach with excision of the small curvature and selective vagotomy in primary and reconstructive surgery of gastroduodenal ulcers].

Experience in surgical treatment of 261 patients with complicated gastroduodenal ulcer is summarized. A new improved method of resection with subtotal excision of the small curvature and selective gastric vagotomy, creation of a gastric stump in the form of a proximal reservoir and distal tubular canal was used. In 144 cases this method was performed as repeated or reconstructive surgery in post-vagotomic ulcers.

[Vagotomy in surgical treatment of duodenal ulcer].

Results of organo-saving operations in 807 patients (72% men, 28% women) with duodenal ulcers were analyzed. Bilateral truncal vagotomy (with pyloro-, duodenoplasty, gastroenterostomy, gastroduodenostomy, economical stomach resection) were performed in 27.1% patients, selective--in 1.