title: [Bleeding gastroduodenal ulcer: indications for surgical intervention].
abstract: The best chance for a patient with a bleeding gastroduodenal ulcer is: "a diligent doctor and a reluctant surgeon". It is necessary to evaluate clinical and endoscopic elements and to check haemodynamic and general conditions of the patient. A better prognosis is ensured by prompt initiation of therapy. All patients with a bleeding since 12 hours or rebleeding must be selected for urgent surgery. The success of surgical intervention is the result of an exact indication and the most correct surgical procedure. Selection of patients for surgery must ensure careful local haemostasis and control of hyperchlorhydria.
authors.affiliation: I Divisione di Chirurgia Generale, Ospedale Maria Vittoria, Torino.
authors.forename: F
authors.initials: F
authors.lastname: Piemontese
authors.forename: D
authors.initials: D
authors.lastname: Vecchiato
authors.forename: F
authors.initials: F
authors.lastname: Comotti
authors.forename: F
authors.initials: F
authors.lastname: Massaglia
mesh_terms: D004381:Duodenal Ulcer / Q000150:complications / Q000601:surgery; D004630:Emergencies; D006801:Humans; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D013276:Stomach Ulcer / Q000150:complications / Q000601:surgery; D014628:Vagotomy
vernacular_title: Ulcere gastroduodenali sanguinanti: indicazioni all'intervento chirurgico.