[The late results of surgical treatment in patients with perforated gastroduodenal ulcers]. / Otdalennye rezul'tatay khirurgicheskogo lecheniia bol'nykh s perforativnymi gastroduodenal'nymi iazvami.

It was shown that suturing perforative ulcers of the stomach and duodenum gives bad outcomes in more than 52% of the patients. More than half of such patients continue suffering from the ulcer and its complications, every fifth patient needs future radical reoperation. The most frequent indication for reoperation is a recurrent ulcer and stenosis of the pyloric area of the stomach. Somewhat better results of simple suturing the ulcer are observed in patients aged 15-20 years. The maximum amount of unfavourable results (60%) are noted in young patients aged 21-30 years. Perforation of "dumb" gastroduodenal ulcers was followed by a considerable amount (43.5%) of unsatisfactory results of treatment which often required reoperations. Truncal vagotomy with the dissection of the ulcer and pyloroplasty cures the disease and its complications in 85.2% of patients with perforative gastroduodenal ulcers. Somewhat worse results of this operation are noted in patients aged 21-30, considerably better outcomes in patients older than 50. In them the amount of excellent and good results is 67% and 94.2% correspondingly.