[Our management of complicated ulcer in cirrhotic patients].
The authors present 83 cases of associated ulcer and cirrhosis, evaluating the frequency of this complication in relation with the total number of ulcers hospitalized over a determined time. The percentage of this association was of 1,6 of the total number of patients with ulcers, and of 10,2 of the total number of patients with cirrhosis. The major complications of this association were hemorrhage and perforation, both in an identical percentage (38). In the case of hemorrhage the authors recommend extirpation of the ulcer. In situ hemostasis should be avoided, when possible because the risk of continued hemorrhage is greater than that of gastric resection. When hemorrhage is due to ruptured oesophageal varicosities endocardial transgastric ligature is recommended by the abdominal route, according to the Skinner-Suteu procedure. In perforated ulcers excision is recommended, associated with pyloroplastia and vagotomy.
D001401:Azygos Vein / Q000601:surgery; D002763:Cholecystectomy; D005743:Gastrectomy; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications* / Q000601:surgery; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery*; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D011169:Portal Vein / Q000601:surgery; D011708:Pylorus / Q000601:surgery; D013156:Splenectomy; D014628:Vagotomy
Atitudinea noastră în ulcerul complicat la cirotici.