title: [Combination of endoscopic methods in diagnostics and surgical treatment of perforative duodenal ulcer].
abstract: OBJECTIVE
  To present the results of perforative duodenal ulcer surgical management using combination of endoscopic methods.
  
  
  METHODS
  The study included 279 patients with perforative duodenal ulcer who were operated for the period from 1996 to 2012. Diagnostics and medical tactics were based on developed in our clinic algorithm that includes use of both esophagogastroduodenoscopy and laparoscopy.
  
  
  CONCLUSIONS
  Presented technique confirmed correct diagnosis, defined medical tactics and choice of surgery in 100% of cases. 67 patients had contraindications for laparoscopic suturing and underwent conventional operations. Herewith postoperative complications and death were observed in 25 (37.3%) and 9 (13.4%) patients respectively. Laparoscopic suturing was performed in 212 patients. Complications were diagnosed in 19 (8.9%) cases including 8 (3.7%) intraoperative and 11 (5.2%) postoperative. Deaths were absent.
authors.affiliation: Chair of Hospital Surgery #2 with the research laboratory of Surgical Gastroenterology and Endoscopy, N.I. Pirogov Russian National Research Medical University; City Clinical Hospital #31, Moscow Department of Health.
authors.forename: M E
authors.initials: ME
authors.lastname: Timofeev
authors.affiliation: Chair of Hospital Surgery #2 with the research laboratory of Surgical Gastroenterology and Endoscopy, N.I. Pirogov Russian National Research Medical University; City Clinical Hospital #31, Moscow Department of Health.
authors.forename: S G
authors.initials: SG
authors.lastname: Shapoval'yants
authors.affiliation: Chair of Hospital Surgery #2 with the research laboratory of Surgical Gastroenterology and Endoscopy, N.I. Pirogov Russian National Research Medical University; City Clinical Hospital #31, Moscow Department of Health.
authors.forename: A I
authors.initials: AI
authors.lastname: Mikhalev
authors.affiliation: Chair of Hospital Surgery #2 with the research laboratory of Surgical Gastroenterology and Endoscopy, N.I. Pirogov Russian National Research Medical University; City Clinical Hospital #31, Moscow Department of Health.
authors.forename: E D
authors.initials: ED
authors.lastname: Fedorov
authors.affiliation: City Clinical Hospital #31, Moscow Department of Health.
authors.forename: G V
authors.initials: GV
authors.lastname: Konyukhov
mesh_terms: D004381:Duodenal Ulcer / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D016145:Endoscopy, Digestive System / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology*; D016019:Survival Analysis; D016896:Treatment Outcome