[The late results of surgical treatment in patients with perforated gastroduodenal ulcers].
It was shown that suturing perforative ulcers of the stomach and duodenum gives bad outcomes in more than 52% of the patients. More than half of such patients continue suffering from the ulcer and its complications, every fifth patient needs future radical reoperation. The most frequent indication for reoperation is a recurrent ulcer and stenosis of the pyloric area of the stomach. Somewhat better results of simple suturing the ulcer are observed in patients aged 15-20 years. The maximum amount of unfavourable results (60%) are noted in young patients aged 21-30 years. Perforation of "dumb" gastroduodenal ulcers was followed by a considerable amount (43.5%) of unsatisfactory results of treatment which often required reoperations. Truncal vagotomy with the dissection of the ulcer and pyloroplasty cures the disease and its complications in 85.2% of patients with perforative gastroduodenal ulcers. Somewhat worse results of this operation are noted in patients aged 21-30, considerably better outcomes in patients older than 50. In them the amount of excellent and good results is 67% and 94.2% correspondingly.
Kurygin
A A
AA
Peregudov
S I
SI
Shafalinov
V A
VA
Pesikin
I N
IN
D013505:Digestive System Surgical Procedures / Q000706:statistics & numerical data; D004381:Duodenal Ulcer / Q000150:complications* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D010166:Palliative Care / Q000706:statistics & numerical data; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation / Q000706:statistics & numerical data; D013276:Stomach Ulcer / Q000150:complications* / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome