RESUMO
4212 patients with ulcer gastrointestinal bleedings were treated during 1990-2007 years. 364 patients had gastric ulcers, other patients had duodenal ulcers. 1819 patients (43.2%) were operated. 418 patients (23%) were operated due to ineffective endoscopic hemostasis and recurrent bleedings. 409 patients (22.5%) underwent urgent operations because of risk for recurrent bleeding. Elective operations were carried out to 1358 patients (74.7%). Postoperative lethality amounted 5.8% including 19.1% lethality after emergency operations, 4.2% lethality - after urgent operations and 0.8% lethality - after delayed operations. The general hospital lethality amounted 3.3%. Lethality can be decreased by extension of indications for urgent operations, preventing recurrent bleedings.
Assuntos
Úlcera Duodenal/cirurgia , Hemostase Endoscópica/métodos , Úlcera Péptica Hemorrágica/cirurgia , Úlcera Gástrica/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Causas de Morte/tendências , Úlcera Duodenal/mortalidade , Endoscopia Gastrointestinal , Humanos , Pessoa de Meia-Idade , Úlcera Péptica Hemorrágica/mortalidade , Estudos Retrospectivos , Federação Russa/epidemiologia , Úlcera Gástrica/mortalidade , Taxa de Sobrevida/tendências , Resultado do Tratamento , Adulto JovemRESUMO
Under analysis were the results of treatment of 267 patients with perforating gastroduodenal ulcers for the period from 1992 till 1997. Radical operations were fulfilled in 86% of the patients. Suture of the perforation and selective proximal vagotomy were performed in 118 patients with ulcers of the duodenum having no intraoperative signs of duodenostasis, in the others resection of the stomach was used. Palliative operations (suturing the perforation) were performed in 15% of the patients. General lethality was 3.7%, postoperative--3%. Excellent and good results were obtained in 95.5% of the patients.
