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[Surgical treatment of patients with perforated peptic ulcers].
Khirurgiia (Mosk) 2007; (6):34-9K

Abstract

Results of surgical treatment of 782 patients with perforated gastric and duodenal ulcers are analyzed. Gastric ulcers of I type were diagnosed at 86 (10.9%) patients, prepyloric and pyloric ulcers - at 441 (56.4%), duodenal ulcers - at 255 (32.6%) patients. Perforation was combined with bleeding and stenosis at 24 (3.1%). Palliative operations have been performed at 172 (22.0%) patients, stem vagotomy with ulcer excision and pyloroplasty - at 58 (7.4%), various types of stomach resection - at 54 (6.9%), proximal gastric vagotomy with excision of gastric, pyloric or duodenal ulcer - at 77 (9.8%), proximal gastric vagotomy with excision or suturing of ulcer and pyloro- or duodenoplasty - at 421 (53.8%) patients. The rate of postoperative complications after proximal gastric vagotomy was 3.6%, after stomach resection - 18.2% (p<0.01). Early postoperative complications after vagotomy with ulcer excision and pyloroplasty were diagnosed at 8.3%, after stomach resection - at 18.2% patients (p<0.01). The quality of patients life was higher after organ-saving operations. Proximal gastric vagotomy with excision of ulcer and pyloro- or duodenoplasty should be regarded as operation of choice at perforated duodenal ulcers.

Authors

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Pub Type(s)

English Abstract
Journal Article

Language

rus

PubMed ID

17690664

Citation

Chernookov, A I., et al. "[Surgical Treatment of Patients With Perforated Peptic Ulcers]." Khirurgiia, 2007, pp. 34-9.
Chernookov AI, Naumov BA, Kotaev AIu, et al. [Surgical treatment of patients with perforated peptic ulcers]. Khirurgiia (Mosk). 2007.
Chernookov, A. I., Naumov, B. A., Kotaev, A. I. u., Belykh, E. N., Ramishvili, V. S. h., Timoshin, N. N., & Barkalin, V. V. (2007). [Surgical treatment of patients with perforated peptic ulcers]. Khirurgiia, (6), pp. 34-9.
Chernookov AI, et al. [Surgical Treatment of Patients With Perforated Peptic Ulcers]. Khirurgiia (Mosk). 2007;(6)34-9. PubMed PMID: 17690664.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical treatment of patients with perforated peptic ulcers]. AU - Chernookov,A I, AU - Naumov,B A, AU - Kotaev,A Iu, AU - Belykh,E N, AU - Ramishvili,V Sh, AU - Timoshin,N N, AU - Barkalin,V V, PY - 2007/8/11/pubmed PY - 2007/10/12/medline PY - 2007/8/11/entrez SP - 34 EP - 9 JF - Khirurgiia JO - Khirurgiia (Mosk) IS - 6 N2 - Results of surgical treatment of 782 patients with perforated gastric and duodenal ulcers are analyzed. Gastric ulcers of I type were diagnosed at 86 (10.9%) patients, prepyloric and pyloric ulcers - at 441 (56.4%), duodenal ulcers - at 255 (32.6%) patients. Perforation was combined with bleeding and stenosis at 24 (3.1%). Palliative operations have been performed at 172 (22.0%) patients, stem vagotomy with ulcer excision and pyloroplasty - at 58 (7.4%), various types of stomach resection - at 54 (6.9%), proximal gastric vagotomy with excision of gastric, pyloric or duodenal ulcer - at 77 (9.8%), proximal gastric vagotomy with excision or suturing of ulcer and pyloro- or duodenoplasty - at 421 (53.8%) patients. The rate of postoperative complications after proximal gastric vagotomy was 3.6%, after stomach resection - 18.2% (p<0.01). Early postoperative complications after vagotomy with ulcer excision and pyloroplasty were diagnosed at 8.3%, after stomach resection - at 18.2% patients (p<0.01). The quality of patients life was higher after organ-saving operations. Proximal gastric vagotomy with excision of ulcer and pyloro- or duodenoplasty should be regarded as operation of choice at perforated duodenal ulcers. SN - 0023-1207 UR - https://www.unboundmedicine.com/medline/citation/17690664/[Surgical_treatment_of_patients_with_perforated_peptic_ulcers]_ DB - PRIME DP - Unbound Medicine ER -