Clinical course, prognosis and prevention of acute postoperative erosive and ulcerative lesions of gastroduodenal zone in older patients

• Published in: Saratovskiĭ nauchno-medit͡s︡inskiĭ zhurnal Vol. 7; no. 4; pp. 953 - 957
• Main Authors: Shapkin Y.G., Frolovl.A., Golovin R.A., Klishin I.M., Evseev М.А., Kapralov S.V.
• Format: Journal Article
• Language: Russian
• Published: Saratov State Medical University 01.12.2011
• Subjects: acute cholecystopancreatitis; gastrointestinal bleeding
• ISSN: 1995-0039; 2076-2518

Objective of the research is to improve the results of surgical treatment in patients with postoperative acute bleeding erosions and ulcers of stomach and duodenum by their prediction and validation of methods for prevention and treatment. Materials and methods. A retrospective analysis of 3746 case histories of patients has been made. Acute erosive and ulcerative lesions, complicated by gastroduodenal bleeding, have been diagnosed in 220 cases (5, 9%) in the postoperative period. Older patients have been accounted 62, 8%. Results. Acute erosive and ulcerative lesions have been developed in 5.6% of all operated patients of older age, and 0,3% in patients of middle age. Mortality rate in older patients with bleeding acute erosive and ulcerative lesions has accounted 35,8. Conclusion. The development of gastroduodenal acute erosive and ulcerative lesions is considered to be a risk factor degenerating condition of older patients in the postoperative period. The main areas of acute erosive and ulcerative lesions treatment are antisecretory therapy and endoscopic hemostasis. Endoscopic hemostasis should be accompanied by good antisecretory treatment with antacid effect in the stomach. The use of injections of H2-blockers does not prevent bleeding recurrences