Functional gastrostasis in patients with duodenal stenosis after duodenoplasty and selective proximal vagotomy (in Russian only)

P.M. Kosenko

State budgetary educational institution of higher professional education «Far East Medical University», Russian Ministry of Health, Khabarovsk, Russia

S.A. Vavrinchuk

State budgetary educational institution of higher professional education «Far East Medical University», Russian Ministry of Health, Khabarovsk, Russia

N.I. Boyarintsev

Far Eastern State Medical University, Khabarovsk, Russia

L.K. Kulikov

State budgetary educational institution of higher professional education «Far East Medical University», Russian Ministry of Health, Khabarovsk, Russia

A.I. Popov

Lomonosov Northern Federal University, Arkhangelsk, Russia

Journal: Russian Journal of Evidence-Based Gastroenterology. 2019;8(1): 38–49

Functional gastrostasis in patients with duodenal stenosis after duodenoplasty and selective proximal vagotomy (in Russian only)

Authors:

P.M. Kosenko, S.A. Vavrinchuk, N.I. Boyarintsev, L.K. Kulikov, A.I. Popov

More about the authors

DOI: 10.17116/dokgastro2019801138

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Kosenko PM, Vavrinchuk SA, Boyarintsev NI, Kulikov LK, Popov AI. Functional gastrostasis in patients with duodenal stenosis after duodenoplasty and selective proximal vagotomy (in Russian only). Russian Journal of Evidence-Based Gastroenterology. 2019;8(1):38‑49. (In Russ., In Engl.).
https://doi.org/10.17116/dokgastro2019801138

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Aim — to improve the diagnosis and assessment of the severity of postoperative functional gastrostasis, as well as to study correlation with preoperative gastrointestinal motility, disturbances of gastric evacuation, homeostasis, age of patients and certain somatic diseases. Material and methods. There were 45 patients with ulcerative stenosis. Duodenoplasty combined with highly selective vagotomy was performed in all patients. Evaluation of the motor function of the stomach was carried out by peripheral electrogastroenterogram (PEGEG). Results. Patients were divided into those with compensated and decompensated gastric motility on the basis of preoperative PEGEG parameters. Postoperative functional gastrostasis was diagnosed in 24 (53.3%) patients with initially decompensated gastric motility. We have developed a computer program DiaGastro: Gastrostasis for the automatic diagnosis of gastrostasis and determining its severity in this group of patients according to PEGEG data with an accuracy of 93%. It was observed a strong correlation of preoperative decompensation of gastric motility grade II and III and decompensation of homeostasis with the development of gastrostasis. Age over 60 years was a significant predictor of postoperative gastrostasis. Patients with diabetes mellitus type II and those with combination of cardiovascular and respiratory diseases had advanced risk of postoperative gastrostasis. Conclusion. PEGEG is able to diagnose gastrostasis and to assess its severity. Independent risk factors of gastrostasis are preoperative decompensation of gastric motility, decompensated evacuation function of the stomach grade II and III, decompensation of homeostasis, advanced (over 60) age, diabetes mellitus type II, and combination of cardiovascular and respiratory diseases.

Keywords:

gastrostasis

duodenal stenosis

duodenoplasty

highly selective vagotomy

Authors:

P.M. Kosenko

State budgetary educational institution of higher professional education «Far East Medical University», Russian Ministry of Health, Khabarovsk, Russia

S.A. Vavrinchuk

State budgetary educational institution of higher professional education «Far East Medical University», Russian Ministry of Health, Khabarovsk, Russia

N.I. Boyarintsev

Far Eastern State Medical University, Khabarovsk, Russia

L.K. Kulikov

State budgetary educational institution of higher professional education «Far East Medical University», Russian Ministry of Health, Khabarovsk, Russia

A.I. Popov

Lomonosov Northern Federal University, Arkhangelsk, Russia

List of references:

Kuzin NM, Okoemov MN, Majorova YuB. Surgical treatment of patients with ulcerative pyloroduodenal stenoses. M. 2007;160. (In Russ.)
Ruhlyada NV, Nazarov VE, Ermolaev IA. Diagnosis and treatment of peptic ulcer complicated by stenosis. SPb. 2006;240. (In Russ.)
Stupin VA, Baglaenko MV, Siluyanov SV, Zakirov DB, Smirnova GO. Peripheral electrogastroenterography in the diagnosis of gastrostasis after surgical treatment of peptic ulcer. Rossijskij meditsinskij zhurnal. 2005;3:23. (In Russ.)
Sharashkina LV. Gastrostas after operations on the stomach: Dis. … kand. med. nauk. Volgograd. 2002. (In Russ.)
Durleshter VM, Didigov MT. Surgical treatment of decompensated cicatricial and ulcerative stenosis (literature review). Vestnik hirurgicheskoj gastrojenterologii. 2009;2:59-65. (In Russ.)
Chernousov AF, Shestakov AL. Selective proximal vagotomy. M. 2001;160. (In Russ.)
Durleshter VM, Didigov MT, Karipidi GK, Kanksidis YaV. Analysis of the long-term results of surgical treatment of decompensated ulcerative stenosis of the duodenum. Kubanskij nauchnyj medicinskij vestnik. 2013;3(138):54-57. (In Russ.)
Kosenko PM, Vavrinchuk SA. Age features of indices of peripheral electrogastroenterography. Bjulleten’ jeksperimental’noj biologii i meditsiny. 2013;12:156:825-829. (In Russ.)
Milonov OB, Toskin KD, Zhebrovskij VV. Postoperative complications and dangers in abdominal surgery. M. 1990;180. (In Russ.)
Kurygin AA, Rumyantsev VV. Vagotomy in surgical gastroenterology. SPb. 1992;303. (In Russ.)
Kulikov LK, Vavrinchuk SA, Kosenko PM, Smirnov AA, Dzhadzhanidze IM. Peripheral electrogastroenterography in surgical practice. Khabarovsk. 2014;258. (In Russ.)
Kosenko PM, Vavrinchuk SA, Kulikov LK. Electrophysiological parameters of motility of the gastrointestinal tract in patients with ulcerative pyloroduodenal stenosis after selective proximal vagotomy. Dokazatel’naya gastroenterologiya. 2016;5(3):31-43. (In Russ.) https://doi.org/10.17116/dokgastro20165331-43
Onopriev VI. Etudes of functional surgery of peptic ulcer. Krasnodar. 1995;296. (In Russ.)
Pfaffenbach B, Adamek RJ, Kuhn K, Wegener M. Electrogastrography in healthy subjects, evaluation of normal values, influence of age and gender. Digestive Diseases and Sciences. 1995 Jul;40(7):1445-1450.
Koch KL, Calles-Escandón J. Diabetic gastroparesis. Gastroenterol Clin North Am. 2015Mar;44(1): 39-57.