Past, present and future of surgical treatment of peptic ulcer (50-year experience of the institute)

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B.F. Shevchenko
V.M. Ratchick
A.M. Babii
N.V. Prolom
S.A. Таrabarov


The article presents the literature data and the results of the author’s own research on the development of peptic ulcer surgery in the historical aspect. It is shown that the evolution of the knowledge about the etiopathogenesis of peptic ulcer influenced the development of methods for surgical interventions. The main periods of development of peptic ulcer surgery are identified: the first period (1842–1881) — the time of the formation of gastric surgery; the second period (1880–90s) — the time of gastric surgery becoming an independent clinical discipline; the third period (the end of the 19th century — 1920s) — the time of peptic ulcer surgery development, when gastroenterostomy was the method of choice in surgical treatment; the fourth period (1930–60s) — the time when the pathogenetic principles of peptic ulcer surgery appeared; gastric resection served as a method of choice; the fifth (the final) period (1970–90s — present time) — the summing up of the 150-year history of ulcer surgery, when doctors tend to conservative treatment of this complex pathology, and surgical intervention in peptic ulcer is directed only to сorrection of disease complications, without destroying the digestive system. It is shown that the historical experience, the thorny path of hopes and disappointments that doctors have taken when searching an optimal approaches to the surgical treatment of peptic ulcer, will help surgeons, therapists, morphologists and physiologists in the future.

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How to Cite
Shevchenko, B., Ratchick, V., Babii, A., Prolom, N., & Таrabarov S. (2018). Past, present and future of surgical treatment of peptic ulcer (50-year experience of the institute). GASTROENTEROLOGY, 51(4), 281–286.
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Anan'ev VG, Gadzhiev AS, Spivak VP, Tovstolytkin GE. Some questions of pathogenesis, clinics and treatment of peptic ulcers. Khirurgiia.1971;9:16-21. (in Russian).

Bereznitskii IaS, Spivak VP, Shevchenko BF. Opyt primeneniia rekonstruktivnykh operatsii pri bolezniakh operirovannogo zheludka: tezisy dokladov [Experience in the use of reconstructive surgeries in diseases of the operated stomach: theses of reports]. Tashkent; 1982. 141-142 pp. (in Russian).

Berezov EL. Khirurgiia zheludka i dvenadtsatiperstnoi kishki [Surgery of the stomach and duodenum]. Gorky; 1950. 232 p. (in Russian).

Vasilenko VKh,Grebnev AL,Sheptulin AA. Iazvennaia bolezn':sovremennye predstavleniia o patogeneze, diagnostike, lechenii [Peptic ulcer: modern concepts of pathogenesis, diagnosis, treatment]. Moscow: Meditsina; 1987. 288 p. (in Russian).

Gadzhiyev AS, Skukina VN. Choice of the method of stomach resection. Khirurgiia (Mosk). 1989 Apr;(4):6-10. PMID: 2739308. (in Russian).

Gal'perin IaO. To the 50th anniversary of resection of the stomach. Novyi khirurgicheskii arkhiv. 1931;22(88):447-455. (in Russian).

Gol'dengorn EM, Kolachevskii SI. Resection of the stomach by the method of Billroth-1 with a successful outcome. Мeditsinskoe obozrenie. 1988;30( 4):93-103. (in Russian).

Gorbashko AI. The development of gastric surgery for 70 years of Soviet authority. Vestnik khirurgii. 1987;12:8-15. (in Russian).

Grinberg AA. Vagotomy in emergency surgery of complicated duodenal ulcer. Khirurgiia (Mosk). 1990 Jul;(7):20-4. PMID: 2232577. (in Russian).

Zakharov EI, Zakharov AE. Tonkokishechnaia plastika pri gastrektomii i rezektsii zheludka [Small intestinal plastic with gastrectomy and gastrectomy]. Moscow: Medgiz; 1962. 198 p. (in Russian).

Zubarev PN, Kochetkov AV. Combined vagotomy in the surgical treatment of patients with duodenal ulcer. Vestn Khir Im I I Grek. 1999;158(4):25-8. PMID: 10533218. (in Russian).

Kuzin M.I. Surgery of peptic ulcer in the USSR. In: Proceeding of the All-Union Conference on organ-preserving surgeries (vagotomy) with peptic ulcer of the stomach and duodenum. 1978, Moscow. Moscow: Meditsina; 1978. 3-5 pp. (in Russian).

Maiat VS, Pantsyrev IuM. About some discussion questions of surgery of peptic ulcer. Khirurgiia. 1971;9:3-8. (in Russian).

Monastyrskii ND. On the treatment of cicatricial narrowing of food pathways of toxic origin. Ezhenedel'naia klinicheskaia gazeta.1882;9:153. (in Russian).

Pavlov IP. On the survival of dogs with cut vagus nerves (1896). In: Pavlov IP. Polnoe sobranie sochinenii. 2-e izdanie dopolnennoe. T 1 [Complete Works. 2nd edition augmented. Vol 1]. Moscow-Leningrad: Publishing House of the USSR Academy of Sciences; 1951. 536-549 pp. (in Russian).

Rafes IuI. Digestive hormones and their role in the development of clinical gastroenterology. In: Voprosy profilaktiki, diagnostiki i lecheniia zabolevanii organov pishchevareniia [Questions of prevention, diagnosis and treatment of diseases of the digestive system]. Kuyv; Zdorov’ya; 1969. 139-141 pp. (in Russian).

Spivak VP. Causes of postoperative complications and lethality in peptic ulcers. Klinicheskaia khirurgiia. 1976;4:19-24. (in Russian).

Terebinskii NP. K istorii rossiiskikh i vsesoiuznykh s"ezdov khirurgov [To the history of Russian and all-Union congresses of surgeons]. Moscow: Medgiz; 1946. 142 p. (in Russian).

Fidler L. K ucheniiu ob operatsiiakh na zheludke: diss. dokt. med. nauk [To the doctrine of operations on the stomach: Dr. med. sci. diss ]. Saint-Petersburg: Publisher Stasiulevich MM; 1893. 232 p. (in Russian).

Filatov AN. The results of subdiaphragmatic vagotomy for peptic ulcer disease. Vestnik khirurgii. 1949;3:28-35. (in Russian).

Shalimov AA, Saenko VF. Khirurgiia zheludka i dvenadtsatiperstnoi kishki [Surgery of the stomach and duodenum]. Kuyv: Zdorov’ya; 1972. 356 p. (in Russian).

Iudin SS. Etiudy zheludochnoi khirurgii [Studies of gastric surgery]. Moscow: Medgiz; 1955. 264 p. (in Russian).

Benjamin SB, Cattau EL, Glass RL. Balloon dilation of the pylorus: therapy for gastric outlet obstruction. Gastrointest Endosc. 1982 Nov;28(4):253-4. PMID: 7173580.

Benjamin SB, Glass RL, Cattau EL Jr, Miller WB. Preliminary experience with balloon dilation of the pylorus. Gastrointest Endosc. 1984 Apr;30(2):93-5. PMID: 6714610.

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