Surgical treatment of acute complicated duodenal ulcers
نویسندگان
چکیده
Complications of peptic ulcer the stomach and duodenum are an integral part urgent abdominal surgery. This especially applies to complications duodenal ulcers (DU), which, in turn, is associated with a combination several problems choice surgical tactics for their treatment. supported by postoperative mortality rates, which remain high range from 15.0% 68.0% according various sources. The aim was improve results treatment complicated ulcers. analysis acutely (combination 3 and/or 4 combined complications) 2 periods presented: 1st – 2000 2014 (group A) 69 patients; 2nd 2015 2022 B) 50 patients. 119 (100.0%) patients were operated on ulcers, 101 (84.9%) had three complications, 18 (15.1%) four complications. Out patients, 106 (89.1%) bleeding perforation 53 (44.5%). Based obtained data, there steady trend towards increase rate organ-preserving operations 1.62 times (from 50.7% 82%), decrease number gastric resections 2.7 15.9 % 6%). performed organ-sparing relatively stable: group A 15 (21.7%), B 10 (20%). use modern measures endoscopic hemostasis made it possible implement system preparing surgery, operate early delayed period, share first period second increased 3.2 5.7% 18.3%). who underwent emergency surgery as decreased compared 2.8 times, widespread modern proton pump inhibitors conservative DU. Actively individualized developed algorithms choosing type intervention reduce almost times: 16.8% 8.9% B). Keywords: perforation, bleeding, stenosis, penetration, vagotomy, resection.
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ژورنال
عنوان ژورنال: ???????? ???????? ? ??????
سال: 2023
ISSN: ['2414-4495']
DOI: https://doi.org/10.35339/msz.2023.92.3.ivb