Effect of Scar Deformation on Long-Term Outcomes of Suturing Perforated Pylorobulbar Ulcers

Despite the use of modern anti-ulcer therapy, percentage unsatisfactory results after suturing perforated ulcers ranges from 4.8 to 57% [1, 2, 3]. It is necessary search for reasons explaining such significantly different values in long-term treatment outcomes patients with ulcers. Cicatricial changes pylorobulbar area leading a violation motor-evacuation function and, as consequence, ulcer recurrence may be one causes.The aim study was investigate effect suture row and type material on ulcer. Materials methods. The involved 280 patients. When suturing, single-row double-row sutures, absorbable non-absorbable materials were used. In immediate postoperative period, main attention paid failure. evaluated 106 patients, which accounted 37.8% operated analysed according Visick score modified by M.Y. Pantsyrev [4]. Fibrogastroduodenoscopy findings period also analyzed 56 patients; 31 them performed technique using threads, 25 dacron or silk threads. severity cicatricial deformation pylorobular based B.P. Dergachev classification (1982) [5].Results. Evaluating no significant increase failure registered when (p=0.2). number excellent higher group where (p=0.023). Analyzing endoscopic examination findings, authors obtained following results: pronounced scar detected under fibrogastroduodenoscopy who suturing. three cases (9.7%), signs scarring found. Endoscopic all second group, Of these, 6 (24.0%) had deformity. After performing material, an ulcerative defect ligature at bottom duodenum two cases.Conclusion. Application reliable option close perforation without increased failures; it improved outcomes. more severe risk factors recurrence.