[Surgical treatment of patients with giant stomach ulcers].
The authors analyse 59 cases with giant gastric ulcers (measuring 3 cm or more in diameter) treated by surgery, which accounted for 10.7% of all the operations conducted for gastric ulcers. It is shown that giant gastric ulcers are complicated and recur most frequently. Planned operations were performed on 56 patients, 3 patients underwent emergency operations at the peak of hemorrhage, the stomach was resected in all of them. Total postoperative mortality was 3.4%, no fatal outcomes occurred in emergency operations. The authors conclude that giant gastric ulcers should be treated by operation after 2-3-week course of preoperative management. Resection of the stomach is the operation of choice.
Nikolaev
N O
NO
Startsev
A I
AI
Grishin
S G
SG
Chekmazov
I A
IA
D000328:Adult; D000368:Aged; D004630:Emergencies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery*; D011300:Preoperative Care; D012008:Recurrence; D013276:Stomach Ulcer / Q000150:complications / Q000473:pathology / Q000601:surgery*
Khirurgicheskoe lechenie bol'nykh s gigantskimi iazvami zheludka.