[Treatment of perforated gastroduodenal ulcer with gastrectomy using a "T" tube. Preliminary report (author's transl)].
Perforation of gastro-duodenal ulcers is followed by a 10% mortality rate. Surgery remains the first choice treatment. A series of 27 cases treated as emergencies by a gastrostomy with a "T" tube of Kehr is reported. The technique is simple and operative time minimal. It is especially indicated in perforations of more than 8 hours or happening in old or diseased patients. It is safer than simple sutures and makes an efficient postoperative intensive care possible. Its purpose is to save the patient while postponing elective surgery.
D000328:Adult; D000368:Aged; D012809:Colon, Sigmoid; D004322:Drainage; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D005774:Gastrostomy; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010288:Parenteral Nutrition; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D010538:Peritonitis / Q000209:etiology; D011182:Postoperative Care; D011708:Pylorus / Q000601:surgery; D013276:Stomach Ulcer / Q000601:surgery; D014628:Vagotomy
Traitement de l'ulcère gastroduodénal perforé, par gastrostomie sur tube en T. Rapport préliminaire