Peptic ulcer: changing indications for gastric resection during the last 15 years

In this study the authors want to underline the changing strategies for peptic ulcer disease. Considering the experience of two Surgery Departments in Piedmont, the G. Bosco Hospital of Turin and the S. Croce Hospital of Moncalieri, in the last 15 years, they observed a notable reduction of gastric...

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Bibliographic Details
Published inMinerva chirurgica Vol. 49; no. 11; p. 1065
Main Authors Della Beffa, V, Carelli-Basile, A, Leli, R, Fontana, D
Format Journal Article
LanguageItalian
Published Italy 01.11.1994
Subjects
Histamine H2 Antagonists - therapeutic use
Humans
Omeprazole - therapeutic use
Peptic Ulcer - drug therapy
Peptic Ulcer - surgery
Peptic Ulcer Hemorrhage - surgery
Peptic Ulcer Perforation - surgery
Recurrence
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Summary:In this study the authors want to underline the changing strategies for peptic ulcer disease. Considering the experience of two Surgery Departments in Piedmont, the G. Bosco Hospital of Turin and the S. Croce Hospital of Moncalieri, in the last 15 years, they observed a notable reduction of gastric resections owing to new drugs such as H2-antagonist and omeprazole in peptic ulcer therapy. The authors report, therefore, recent suggestions to gastric resection in the cases of complicated ulcer or not. Today pyloric stenosis due to chronic ulcer no longer operated and perforated ulcer is resected only when there is a great gastric hole, or a relapse perforation or a bleeding together to perforation. On the contrary hemorrhagic ulcer is operated when the bleeding is either notable, or relapse, or continuous, or untransfusible.
ISSN:0026-4733