Khirurgiia · 2018
[Why should we refuse simple suturing of duodenal ulcer complicated by perforation?].
СтатьяНазвание и аннотация: Оригинал на русском
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Vachev A N, Korytzev V K, Antropov I V, Kozlov A A
Аннотация
AIM: To determine the role of simple suturing of perforated duodenal ulcer.
MATERIAL AND METHODS: There were 170 patients with perforated duodenal ulcer. Patients were divided into 2 groups: group 1 - 40 patients who underwent simple closure of the ulcer; group 2 - 130 patients who underwent Judd pyloroplasty with ulcerative defect excision. Abdominal effusion nature and severity of peritonitis were comparable in both groups.
RESULTS: Mortality was significantly higher in group of simple suturing of ulcerative defect.
CONCLUSION: Simple closure of perforated duodenal ulcers should be discarded.
MATERIAL AND METHODS: There were 170 patients with perforated duodenal ulcer. Patients were divided into 2 groups: group 1 - 40 patients who underwent simple closure of the ulcer; group 2 - 130 patients who underwent Judd pyloroplasty with ulcerative defect excision. Abdominal effusion nature and severity of peritonitis were comparable in both groups.
RESULTS: Mortality was significantly higher in group of simple suturing of ulcerative defect.
CONCLUSION: Simple closure of perforated duodenal ulcers should be discarded.