[The surgery patient with gastroduodenal ulcers].
The authors evaluate the contemporary change of indications for surgery of gastroduodenal ulceration. From a group of 670 patients operated in the course of three years at the Second Surgical Clinica of the General Faculty Hospital in Prague 46 patients were subjected to acute surgery. Among these operations surgery on account of perforating pyloric ulcers (34%) predominated followed by bleeding duodenal ulcers (23%). In the remaining patients with a prolonged history of conservative treatment the authors observed a more complicated local situation (infiltrate, penetration) which influenced not only the surgical operation but also the pretentiousness of postoperative care, but unfortunately also a higher lethality rate-18.3%. In the conclusion the authors reflect on the possibility of earlier indication of surgery in particular in ulcers poorly controlled by conservative treatment or those after haemorrhage treated successfully by conservative treatment.
Krusina
L
L
I. chirurgická klinika VFN, Praha.
Gürlich
R
R
Pesková
M
M
D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010437:Peptic Ulcer / Q000601:surgery*
Chirurgický pacient s vredovou chorobou gastroduodena.