Working hypotheses about the new organ-preserving method of treatment of ulcer disease of stomach and duodenum (first results)
The authors support the point of view that ulcer disease (UD) is the disbalance between the factors of aggression and protection of gastroduodenal zone. The factors of aggression are the reflux of the infected person due to ascending infection in case of incompetence of ileocolic valve, duodenal content in terms of chronic disorder of duodenal patency. The surgical treatment consists of bauginoplastics, of incision of ligament of Treitz at the distance between aorta and upper mesenterial artery at the level of lower horizontal part of duodenum more than 20 mm. and of duodenojejunostomosis at the mentioned distance of less than 20 mm. 52 patients had bauginoplastics, in 10 cases there was added the incision of ligament of Treitz, and in 42 - duodenojejunostomia. The stabile remission in the course of UD was observed in the group of patients with bauginoplastica and duodenojejunostomia during 1-4 years after operation.