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The results of surgical treatment of 517 patients with intestinal obstruction were analyzed. All patients had wide small bowel resections with primary anastomoses. The study demonstrated that the main survival predictive factors were: the age, general clinical condition, time before the operation, type of the anastomosis, resection volume of the adducent bowel loop and systemic complications.
View Article and Find Full Text PDFVestn Khir Im I I Grek
December 1976
The author observed 27 patients with the adducent loop mechanic syndrome (ALMS), which was caused by scarring deformations, ulcerous and cancer process in the region of anastomosis, constructed after one of Billroth-2 technics, impairing evacuation of the adducent loop content. The diagnosis was established on the basis of clinical findings and pinpointed further by roentgenoscopy and fibrogastroscopy. The presence of helminthic invasion of the liver--opisthordiasis resulted in hepatitis, pancreatitis that would not respond to therapy in patients with ALMS.
View Article and Find Full Text PDFIt is the author's opinion that diagnosis of the "adducent loop syndrome" is unlikely to be correct in patients subjected to Billroth-II gastrectomy. As evidence by the author's observations pains in the right subcostal space, bile vomiting following the gastric resection are mostly due to diseases of the pancreas, bile outflow passages and liver.
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