Surgical tactics in peptic ulcer hemorrhage

The article discusses the results of treatment of 256 patients with gastroduodenal hemorrhages. The routine actively temporizing strategy was employed in the treatment of the first group of patients. The total mortality in the group was 13%, postoperative one, 33%. In the second group active surgica...

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Bibliographic Details
Published inHirurgija (Moskva) no. 2; p. 81
Main Authors Grinberg, A A, Ermolov, A S, Zatevakhin, I I, Nesterenko, Iu A, Izbekova, M L, Shchegolev, A A
Format Journal Article
LanguageRussian
Published Russia (Federation) 01.02.1990
Subjects
Adult
Aged
Duodenal Ulcer - complications
Emergencies
Gastrectomy - methods
Humans
Middle Aged
Peptic Ulcer Hemorrhage - surgery
Postoperative Complications - etiology
Postoperative Complications - mortality
Postoperative Complications - prevention & control
Pyloric Antrum - surgery
Recurrence
Stomach Ulcer - complications
Time Factors
Vagotomy, Truncal
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Summary:The article discusses the results of treatment of 256 patients with gastroduodenal hemorrhages. The routine actively temporizing strategy was employed in the treatment of the first group of patients. The total mortality in the group was 13%, postoperative one, 33%. In the second group active surgical strategy was based on the results of recurrent hemorrhage prognosis. The total mortality was 6%, postoperative one, 6.5%. It is concluded that active surgical strategy which is based on prediction of recurrent hemorrhage yields better results of management of patients with ulcerative hemorrhages.
ISSN:0023-1207