[Surgical treatment of complicated ulcers of cardia and sub-cardia].
Two hundred and two patients with ulcers of a proximal part of the stomach (17.5% of all patients with gastric ulcer) were treated. In 135 (64.9%) patients these ulcers were complicated: in 28 (20.7%) -- malignant ulcers, in 42 (31.1%) -- bleeding ulcers, in 53 (39.3%) -- penetrating ones. Surgery was performed in 142 (70.3%) patients. A high rate of complications dictates a need to reduce period of conservative treatment of such ulcers to 6 months -- 1 year. Distal and proximal resection of the stomach are main surgeries in elective surgical treatment of patients with benign ulcers of cardia and sub-cardia. In malignant transformation gastrectomy is the most preferable. Suturing is indicated in perforated and bleeding ulcers, and if it is impossible -- distal subtotal resection of the stomach.
Shirinov
Z T
ZT
Kurbanov
F S
FS
Domrachev
S A
SA
Bogopol'skiĭ
P M
PM
D002299:Cardia; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery*; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D013274:Stomach Neoplasms / Q000209:etiology / Q000601:surgery; D013276:Stomach Ulcer / Q000150:complications* / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome