[Treatment of patients with perforated pyloroduodenal ulcers].
Results of treatment of 206 patients with perforated gastroduodenal ulcers were analyzed. Atypical clinical picture of perforated ulcer in some patients led to diagnostic mistakes. Diagnostic algorithm including videolaparoscopy in difficult cases is proposed. The study group included 183 patients who have undergone open suturing of perforated ulcer, in 17 patients videolaparoscopic suturing was performed. Combination of perforation with other complications of ulcer disease required extended surgery in 6 patients. Diagnostic algorithm after surgery for correct antiulcer therapy is developed.
Uteshev
N S
NS
Guliaev
A A
AA
Iartsev
P A
PA
Zabavskaia
O A
OA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D000897:Anti-Ulcer Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010437:Peptic Ulcer / Q000188:drug therapy; D010439:Peptic Ulcer Perforation / Q000175:diagnosis / Q000601:surgery*; D011182:Postoperative Care; D011708:Pylorus; D013536:Suture Techniques; D020535:Video-Assisted Surgery
D000897:Anti-Ulcer Agents