[Surgical tactics and causes of death in ulcer gastroduodenal bleedings].
4212 patients with ulcer gastrointestinal bleedings were treated during 1990-2007 years. 364 patients had gastric ulcers, other patients had duodenal ulcers. 1819 patients (43.2%) were operated. 418 patients (23%) were operated due to ineffective endoscopic hemostasis and recurrent bleedings. 409 patients (22.5%) underwent urgent operations because of risk for recurrent bleeding. Elective operations were carried out to 1358 patients (74.7%). Postoperative lethality amounted 5.8% including 19.1% lethality after emergency operations, 4.2% lethality - after urgent operations and 0.8% lethality - after delayed operations. The general hospital lethality amounted 3.3%. Lethality can be decreased by extension of indications for urgent operations, preventing recurrent bleedings.
Repin
V N
VN
Kostylev
L M
LM
Vozgoment
A O
AO
Tkachenko
I M
IM
Kravtsova
T Iu
TIu
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death / Q000639:trends; D004381:Duodenal Ulcer / Q000401:mortality / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D012426:Russia / Q000453:epidemiology; D013276:Stomach Ulcer / Q000401:mortality / Q000601:surgery*; D015996:Survival Rate / Q000639:trends; D016896:Treatment Outcome; D055815:Young Adult