[Peptic ulcer is a risk factor in the surgical treatment of pulmonary tuberculosis].
Peptic ulcer of the stomach and duodenum is the most common (10-18%) concomitant gastrointestinal pathology in phthisiosurgical patients. Treatment of these patients presents a challenge due to a drastic reduction in the efficiency of oral antibacterial therapy resulted from poor tolerability of chemical drugs and to a risk for surgical complications particularly in the early period after lung surgery. In 1996-2002, a total of 495 patients with tuberculosis at various sites were endoscopically studied; peptic ulcer in different phases was detected in 30.9% of the patients. There has been a considerable increase in the incidence of peptic ulcer among phthisiosurgical patients in the past 3 years (up to 16-17% among those undergone lung surgery for tuberculosis). A package of measures has been developed to reduce the incidence of life-threatening complications due to peptic ulcer in the postoperative period. It is concluded that peptic ulcer is a significant risk factor in phthisiosurgery as a serious contraindication to planned surgery and as a source of postoperative complications.
Kobak
M E
ME
Kirillov
Iu V
IuV
Selizarova
E M
EM
D000328:Adult; D015897:Comorbidity; D004381:Duodenal Ulcer / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D016145:Endoscopy, Digestive System; D005260:Female; D005743:Gastrectomy; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000209:etiology; D012008:Recurrence; D012307:Risk Factors; D013276:Stomach Ulcer / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology / Q000601:surgery*