[Surgery in the treatment of nonvaricose upper digestive hemorrhages].
The surgical treatment in 154 patients with upper gastrointestinal hemorrhage, was analyzed retrospectively. One hundred and twenty-two were males (79.2%) and 20.7% were females. Mean age was 58.3 years. Surgery was performed immediately or on a wait and see fashion, according to the evolution of the bleeding, during 1985-1989. Survivals were analyzed with the chi-square test with 95% confidence limits. Overall mortality was 11.68% (18 patients), 12.69% after immediate surgery and 9.1% after deferred surgery. Resections had a higher mortality than simple suture in patients with associated severe risk and urgent surgical indication. In patients with less risk, a vagotomy procedure is added if no intercurrent diseases are present. Gastrectomy should be performed only out of necessity.
Docobo Durántez
F
F
Departamento de Cirugía, Hospital Universitario Virgen del Rocío, Sevilla.
D000367:Age Factors; D004381:Duodenal Ulcer / Q000150:complications* / Q000453:epidemiology / Q000601:surgery; D004630:Emergencies; D005743:Gastrectomy / Q000706:statistics & numerical data; D006801:Humans; D010438:Peptic Ulcer Hemorrhage / Q000453:epidemiology / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology; D013276:Stomach Ulcer / Q000150:complications* / Q000453:epidemiology / Q000601:surgery; D014628:Vagotomy / Q000706:statistics & numerical data
La cirugía en el tratamiento de las hemorragias digestivas altas no varicosas.