Literature Reviews

doi: 10.25005/2074-0581-2020-22-2-311-319
COMBINATION OF PENETRATION AND PYLORIC AND DUODENAL STENOSIS IN DUODENAL ULCER

F.D. Kodirov1, Sh.Sh. Saydaliev2, D.M. Kadyrov1, Z.V. Tabarov1

1Institute of Gastroenterology, Dushanbe, Republic of Tajikistan
2Department of Surgical Diseases № 1, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

The review provides an analysis of the literary data devoted to the problem of surgical treatment of duodenal stenosis combined with ulcer penetration. Still in the scientific literature has an ambiguous interpretation of the concept of ulcer penetration: it also exceptionally includes the presence of a large ulcerative crater penetrating into a neighbouring organ with periulcerous inflammatory infiltrate. Hereby, cicatricial adhesions with neighboring organs, as the result of preceded ulcer penetration, are not considered penetration. There are controversial views among the surgeons regarding surgical tactics, volume and surgical technique. The particular situation in surgery of duodenal ulcer is domination of resection methods over organsaving techniques. There’s a wrong opinion of impossibility of organ-saving surgery in penetrating duodenal ulcer. In recent years, the methods of low-invasive surgery have become increasingly popular. The analysis of literary data shows that there is insufficient knowledge of this problem, the debatability of a number of issues requiring their final solution.

Keywords: Duodenal ulcer, duodenal stenosis, ulcer penetration, surgical treatment.

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Author information:


Kodirov Farkhod Davrondzhonovich
Doctor of Medical Sciences, Surgeon of the Department of Gastrointestinal Surgery, Institute of Gastroenterology
ORCID ID: 0000-0002-7107-6155
E-mail: farhod.kadyrov@yandex.com

Saydaliev Shirindzhon Sharifovich
Candidate of Medical Sciences, Assistant of the Department of Surgical Diseases № 1, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-9819-8531
E-mail: Aka.74@mail.ru

Kadyrov Davronzhon Mukhamedzhanovich
Doctor of Medical Sciences, Senior Researcher, Head of the Laboratory of Gastrointestinal Pathology and Department of Gastrointestinal Surgery, Institute of Gastroenterology
ORCID ID: 0000-0002-7752-8853
E-mail: davron.kadyrov.00@mail.ru

Tabarov Zafar Valievich
Surgeon of the Department of Gastrointestinal Surgery, Institute of Gastroenterology
ORCID ID: 0000-0002-6848-6786
E-mail: Z_tabarov@mail.ru

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The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:


Kodirov Farkhod Davrondzhonovich
Doctor of Medical Sciences, Surgeon of the Department of Gastrointestinal Surgery, Institute of Gastroenterology

734064, Republic of Tajikistan, Dushanbe, Mayakovskiy str., 2

Tel.: +992 (919) 983830

E-mail: farhod.kadyrov@yandex.com