[Organizational bases of providing medical aid in extreme conditions].
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Biomedical subjects
Publications and source records attributed to N P Chernobrovyĭ.
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The work presents results of surgical treatment of 38 patients with chronic disturbance of duodenal patency. It was established that operations aimed at the improvement of the passage of food through the duodenum, gave unsatisfactory results in remote period in 30% of cases. Operations are recommended aimed at the improvement of the passage of contents of the duodenum in combination with operations excluding the duodenum from the passage of food. Surgical correction of coexistent diseases of the digestive system is recommended.
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Examined were 128 patients with peptic ulcer of the anastomosis and jejunum. Of them, 117 were operated on. In 58 patients, the major gastric resection was performed, in 8--gastric resection with gastroenteroanastomosis, in 38--truncal vagotomy, in 3--gastrectomy, in 10--operations in gastrojejunocolonic fistula. Complications after the operation developed in 22.2% of cases. Postoperative lethality was 5.9%.
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