Perforative gastroduodenal ulcer. Choice of operation method

Authors

  • O. V. Siplyvy Kharkiv National Medical University
  • V. V. Dotsenko Kharkiv National Medical University
  • G. D. Petrenko Kharkiv National Medical University
  • A. G. Guz Kharkiv National Medical University
  • S. V. Grinchenko Kharkiv National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2020.1.10747

Keywords:

ulcerous disease, perforated gastroduodenal ulcer, life quality

Abstract

The aim of the work: to analyze the results of surgical treatment and quality of life of patients operated on perforative gastroduodenal ulcer.

Materials and Methods. The work is based on the analysis of the results of surgical treatment of 261 patients with perforated gastroduodenal ulcer. Patients of working age predominated: there were 235 (90 %) people under 60 years of age. The average age of patients was 38.7 years.

Depending on the type of surgery, all patients were divided into two groups. The group I consisted of 159 patients who underwent surgery for excision of the ulcer with pyroplasty without vagotomy, group 2 – 102 patients who underwent surgery for excision of the ulcer with vagotomy.

The following methods were used for the examination of patients: clinical blood test, clinical urine analysis, biochemical study, blood groups, rhesus factor, electrocardiography, radiological examination of abdominal and chest organs. The following hematologic indices were identified: leukocyte intoxication index (LII), nuclear displacement index (NID), and the ratio of neutrophils to lymphocytes (N/L).

Results and Discussion. The results of surgical treatment of 261 patients with perforated gastric and duodenal ulcers were analysed. The analysis had shown that in all cases was present chronic ulcer perforation. It was found out, that patients operated in remote terms had morphological peculiarities of gastric mucous membrane, such as chronic atrophic gastritis with focuses of complete intestinal metaplasia. At surgical treatment of patients with perforated gastroduodenal ulcers the excision of ulcer with pyloroplasty and therapeutic correcting treatment is recommended.

References

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Syplyvyi, V.O., Dotsenko, V.V., & Yevtushenko, O.V. (2015). Khirurhichne likuvannia i yakist zhyttia khvorykh na perforatyvnu hastroduodenalnu vyrazku: monohrafiia [Surgical treatment and quality of life of patients with perforative gastroduodenal ulcer: monograph]. Kharkiv: KHNADU [in Ukrainian].

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Published

2020-01-16

How to Cite

Siplyvy, O. V., Dotsenko, V. V., Petrenko, G. D., Guz, A. G., & Grinchenko, S. V. (2020). Perforative gastroduodenal ulcer. Choice of operation method. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 100–104. https://doi.org/10.11603/2414-4533.2020.1.10747

Issue

No. 1 (2020)

Section

EXPERIENCE OF WORK

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