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https://doi.org/10.14300/mnnc.2023.18057

The gastric resection with reconstruction surgery for complications of peptic ulcer disease in emergency surgery

[Original research] [Surgery]
Robert Mustafin; Kamalutdin Nizamutdinovich Gadzhiev; Yuri Kuchin; Samvel Antonyan; Ivan Anatolyevich Malafeev; Rail Khazisovich Ilyasov; Yulia Molchanova;

Despite nowadays indications for partial gastrectomy in peptic ulcer disease are very limited, this operation is still in demand, and more often it ҆s performing as an urgent procedure. The objective of this study was to analyze the results of the resections and non-resectional interventions in perforated and bleeding ulcers. The use of modern equipment (LigaSure, EnSeal, Sony Scision, staplers) helps to reduce the time of operation and simplify manipulations in anatomically difficult areas. In the cases of the «difficult duodenal stump» partial gastrectomy with Roux-en-Y anastomosis and vast drainage of subhepatic space seems to be optimal.

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Keywords: partial gastrectomy, peptic ulcer disease, non-resectional surgery