[Surgical treatment of gastroduodenal ulcer bleeding-our experience].
BACKGROUND
Acute bleeding from the upper gastrointestinal tract remains the commonest emergency in gastroen-terology, and is most often caused by gastroduodenal ulcer disease. Despite introduction of novel endoscopic techniques and pharmacological treatment, 6-15% patients have to be operated. The aim of our investigation is analyze data of patients treated for gastrointestinal ulcer bleeding in our institution, their treatment options and outcome.


METHODS
We included 2237 patients admitted in the Department for Emergency medicine of Clinical center of Serbia during the period from January 1999 until December 2003. because of gastroduodenal ulcer bleeding. We analyzed age, gender treatment option, hospital stay and mortality.


RESULTS
The mean age of our patients was 61.58 years, 1346 male and 891 female. The majority of patients were conservatively treated (84.5%). Operated patients mostly undergo Billroth II resection (57.8%). The mean hospital stay was 7.3 days. Average mortality was 14.4%.


CONCLUSIONS
Despite adequate endoscopic management of bleeding gastroduodenal ulcer, surgeons will continue to treat this patients for emergency surgery.
Krstić
S
S
Centar za urgentnu hirurgiju, Urgentni centar, KCS, Beograd.
Alempijević
T
T
Krstić
M
M
Lausević
Z
Z
Sijacki
A
A
Djukić
V
V
Jovanović
D
D
Stefanović
B
B
Arsenijević
V
V
D000208:Acute Disease; D000328:Adult; D000368:Aged; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged