Subject(s)
Branchioma , Adolescent , Adult , Aged , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Middle Aged , NeckSubject(s)
Duodenal Ulcer/pathology , Peptic Ulcer Perforation/pathology , Stomach Ulcer/pathology , Adult , Humans , Male , Middle AgedABSTRACT
Under observation were 25 patients with perforation of gastroduodenal ulcers, treated under stationary conditions for other severe affections (cardio-vascular, neurological, urological, oncological, etc). The clinical picture of ulcer perforation against the background of some other grave lesion remains not infrequently vague for a long time. This renders a negative effect on terms of establishing the proper diagnosis and operative intervention. A gravity of the basic lesion frequently necessitates some accessory methods of exploration to establish the correct diagnosis, and dictates a need for consultation of different specialists for the maximum objective estimation of the status of the organism forces, as well as for a solution of the problem concerning a feasibility of surgery, its terms and extent. Among this category of patients the mortality rate was very high (16 of 25 patients died). The surgical policy should consist in the performance of an urgent operative procedure (ulcer suturing and adequate drainage of the abdominal cavity). Gastric resection seems to be warranted only in special cases.
Subject(s)
Duodenal Ulcer/complications , Peptic Ulcer Perforation/surgery , Stomach Ulcer/complications , Adult , Aged , Emergencies , Evaluation Studies as Topic , Female , Humans , Male , Middle Aged , Peptic Ulcer Perforation/diagnosis , Referral and Consultation , Suture TechniquesSubject(s)
Bile Ducts , Biliary Tract Diseases/complications , Hemorrhage/etiology , Adult , Female , Humans , Middle Aged , SyndromeABSTRACT
Under observation were seven children, aged from 1 year 4 months to 6 years, with isolated gastric burns. In 4 children the burn was produced by sulphuric acid, in 2 -- by hydrochloric acid, in 1 -- by an unknown poison. All these patients were operated upon, 6 children with decompensated stenoses within the terms from 30 to 48 days, 1 child with a subcompensated stenosis -- 3 months following the burn. Gastroenterostomy was performed in all of them: in 6 -- posterior, in 1 -- anterior with an accessory interintestinal stoma. All patients recovered and were discharged from the clinic 10--12 days following the operation. Late results were studied in 4 children during the period from 2 to 9 years postoperatively. All of them are feeling well.
