Tags

Type your tag names separated by a space and hit enter

[Surgical treatment of perforative gastroduodenal ulcers in elderly and senile patients].
Vestn Khir Im I I Grek. 2004; 163(5):105-10.VK

Abstract

The work is based on experiences with surgical treatment of 206 elderly and senile patients with perforating gastroduodenal ulcers. In 67.5% of cases the perforations took place in duodenal ulcers, in 16%--in the pyloric canal. The gastric body and antral portion ulcers were perforative more rarely--9.8% and 4.8% respectively. Perforations of the cardial and retrobulbar ulcers were found in 1.9% and 1% respectively. At early terms after operation 67 patients (33.5%) died. After suturing the perforative opening 38 out of 98 patients died (38.8%), after dissection and suturing the ulcers died 7 out of 19 patients, after Oppel-Polikarpov operation died 7 out of 11, after resection of the stomach died 4 out of 6, after truncal vagotomy with pyloroplasty died 11 out of 72 patients (15.3%). The main cause of lethal outcomes is thought to be complications of the coexistent diseases, totally responsible for 46.2% of deaths. Truncal vagotomy with a dissection of the ulcer and pyloroplasty performed in 60-70 year old patients gave the least indices of lethality and early postoperative complications, so the indications to radical organ-saving operations in patients of this age must be wider. This method of treatment for perforative ulcers in patients of 71-80 years of age should be used with restrictions due to not bad long-term results of suturing the ulcers (good and excellent results took place in 53.8% of cases). In patients older than 80 radical operations are not indicated. In such cases the ulcer should be better dissected and sutured, the posterior wall of the organ being examined for a "mirror" ulcer.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

rus

PubMed ID

15651707

Citation

Peregudov, S I., and A A. Kurygin. "[Surgical Treatment of Perforative Gastroduodenal Ulcers in Elderly and Senile Patients]." Vestnik Khirurgii Imeni I. I. Grekova, vol. 163, no. 5, 2004, pp. 105-10.
Peregudov SI, Kurygin AA. [Surgical treatment of perforative gastroduodenal ulcers in elderly and senile patients]. Vestn Khir Im I I Grek. 2004;163(5):105-10.
Peregudov, S. I., & Kurygin, A. A. (2004). [Surgical treatment of perforative gastroduodenal ulcers in elderly and senile patients]. Vestnik Khirurgii Imeni I. I. Grekova, 163(5), 105-10.
Peregudov SI, Kurygin AA. [Surgical Treatment of Perforative Gastroduodenal Ulcers in Elderly and Senile Patients]. Vestn Khir Im I I Grek. 2004;163(5):105-10. PubMed PMID: 15651707.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical treatment of perforative gastroduodenal ulcers in elderly and senile patients]. AU - Peregudov,S I, AU - Kurygin,A A, PY - 2005/1/18/pubmed PY - 2005/4/13/medline PY - 2005/1/18/entrez SP - 105 EP - 10 JF - Vestnik khirurgii imeni I. I. Grekova JO - Vestn Khir Im I I Grek VL - 163 IS - 5 N2 - The work is based on experiences with surgical treatment of 206 elderly and senile patients with perforating gastroduodenal ulcers. In 67.5% of cases the perforations took place in duodenal ulcers, in 16%--in the pyloric canal. The gastric body and antral portion ulcers were perforative more rarely--9.8% and 4.8% respectively. Perforations of the cardial and retrobulbar ulcers were found in 1.9% and 1% respectively. At early terms after operation 67 patients (33.5%) died. After suturing the perforative opening 38 out of 98 patients died (38.8%), after dissection and suturing the ulcers died 7 out of 19 patients, after Oppel-Polikarpov operation died 7 out of 11, after resection of the stomach died 4 out of 6, after truncal vagotomy with pyloroplasty died 11 out of 72 patients (15.3%). The main cause of lethal outcomes is thought to be complications of the coexistent diseases, totally responsible for 46.2% of deaths. Truncal vagotomy with a dissection of the ulcer and pyloroplasty performed in 60-70 year old patients gave the least indices of lethality and early postoperative complications, so the indications to radical organ-saving operations in patients of this age must be wider. This method of treatment for perforative ulcers in patients of 71-80 years of age should be used with restrictions due to not bad long-term results of suturing the ulcers (good and excellent results took place in 53.8% of cases). In patients older than 80 radical operations are not indicated. In such cases the ulcer should be better dissected and sutured, the posterior wall of the organ being examined for a "mirror" ulcer. SN - 0042-4625 UR - https://www.unboundmedicine.com/medline/citation/15651707/[Surgical_treatment_of_perforative_gastroduodenal_ulcers_in_elderly_and_senile_patients]_ DB - PRIME DP - Unbound Medicine ER -