Subject(s)
Duodenal Ulcer/surgery , Duodenoscopy/methods , Postoperative Complications , Aged , Dumping Syndrome , Humans , Middle AgedABSTRACT
The surgical hemostasis method was elaborated and introduced in the clinic according to the data of morphological investigation of bleeding penetrating ulcer of the duodenal ampulla posterior wall in elderly and senile patients.
Subject(s)
Duodenal Ulcer/complications , Peptic Ulcer Hemorrhage/surgery , Peptic Ulcer Perforation/surgery , Aged , Animals , Dogs , Duodenal Ulcer/pathology , Duodenal Ulcer/surgery , Duodenum/pathology , Duodenum/surgery , Female , Follow-Up Studies , Hemostasis, Surgical/methods , Humans , Male , Middle Aged , Peptic Ulcer Hemorrhage/pathology , Peptic Ulcer Perforation/pathology , Time FactorsABSTRACT
The classification of chronical bleeding gastroduodenal ulcer in elderly and senile patients, considering the blood loss severity and concurrent pathology, was proposed. The tactics of treatment--conservative, operative, or actively-waiting one--was determined according to the classification adduced. The proposed classification application and the tactics of treatment also have permitted to reduce mortality from 15.7 to 11.2%.
Subject(s)
Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/therapy , Peptic Ulcer , Aged , Aged, 80 and over , Chronic Disease , Humans , Middle Aged , Peptic Ulcer/complications , Peptic Ulcer/diagnosis , Peptic Ulcer/therapy , Severity of Illness IndexABSTRACT
An experimentally elaborated and introduced in clinical practice organpreserving methods of surgical treatment of the bleeding duodenal ulcer, localized on the ampullar posterior wall in elderly and senile patients, mentioning the ulcer tamponade with complete duodenal inlet overlapping and the gut passability restoration using gastroenteroanastomosis antecolica anterior formation with anastomosis according to Brown, were proposed. The secure stoppage of bleeding is guaranteed by the application of the method, what is simple in application.