[Surgical treatment of perforated gastric ulcer].
BACKGROUND
Peptic ulcer perforation is a complication of ulcer disease which requires urgent surgical treatment. The aim of this paper was to point out our experience in surgical treatment of perforated peptic ulcer.


METHODS
This retrospective study analyzes results of surgical treatment in 365 patients with perforated peptic ulcer during the period January 1996 to December 2000.


RESULTS
During the last 5-year period 365 patients were treated following peptic ulcer perforation. The average age was 43.53 +/- 8.26, with the span from 18 to 86. The most frequent surgical procedures in treatment of peptic ulcer perforation were: simple closure with biopsy (55.88%), excision of the ulcer with a pyloroplasty and vagotomy (35.29%) as nonresection surgical procedures and stomach resection after Billroth II (8.83%). The postoperative mortality was 4.41%.


CONCLUSIONS
The methods of choice in surgical treatment of gastric ulcer perforation are nonresection surgical procedures with drug therapy and eradication of Helicobacter pylori, if present.
Korica
Milan
M
Klinicki centar Novi Sad, Klinika za abdominalnu i endokrinu hirurgiju, 21000 Novi Sad, Hajduk Veljkova 1-3. miramine@Eunet.yu
Petaković
Goran
G
Gavrilović
Sava
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D012189:Retrospective Studies; D013276:Stomach Ulcer / Q000150:complications / Q000601:surgery*
Hirurski tretman perforacija ulkusa zeluca.