title: [Indications and outcomes of surgical treatment of gastro-duodenal ulcer in child and adolescent. About 45 cases].
abstract: The goal of this study was to determine the indications and assess the results of surgery in the treatment of gastro-duodenal ulcers in children and adolescents. This is a retrospective study of 45 patients operated for duodenal ulcer in Sahloul Teaching Hospital (Susa, Tunisia) over period of 14 years (1988 - 2001). The study is about 41 boys and 4 girls aged between 8 and 18 years (mean age: 15 1/2 years). Surgery was undertaker in cases of bleeding ulcer (9 cases), perforation (26 cases), stenosis (7 cases), resistance to medical treatment (3 cases). The after-effects were mild in 40 cases with an average hospital stay of 6 days. Later after-effects comprised ulcerous relapse (2 cases), stricture of the pyloroplasty (2 cases), an diarrhea follwing vagotomy combined with pyloroplasty in one case. Indications of surgical treatment of gastro-duodenal ulcers in children and adolescents are, nowadays, nearly limited to complicated forms of the illness. Outcomes of surgical treatment are globally satisfactory.
authors.affiliation: Service de pédiatrie, CHU Sahloul, Sousse, Tunisie.
authors.forename: Chemli
authors.initials: C
authors.lastname: Jalel
authors.forename: Derbel
authors.initials: D
authors.lastname: Fethi
authors.forename: Ben Hadj Hmida
authors.initials: BH
authors.lastname: Ridha
authors.forename: Harbi
authors.initials: H
authors.lastname: Abdelaziz
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D003967:Diarrhea / Q000209:etiology; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010437:Peptic Ulcer / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome