Long-term results of surgical treatment of peptic ulcer disease complicated by perforation
https://doi.org/10.21626/vestnik/2017-3/05
Abstract
The aim of the study was to investigate the effect of various methods of surgical treatment of peptic ulcer complicated by perforation on the quality of life. A comparative analysis of the influence of different surgical treatment in 118 patients with a perforated ulcer on the quality of life was carried out. Patients were divided into 4 groups: in the first group, ulcer excision was performed, in the second one - suturing, in the third one - stomach resection according to a modification of Billroth I, and in the fourth one - according to Billroth II. The best quality of life is enjoyed by patients who have undergone ulcer excision. The Billroth I stomach resection ranks second with respect to the influence on the life quality. The worst long-term results are obtained by suturing an ulcer and the Billroth II gastric resection.
About the Authors
B. S. Sukovatykh
Kursk State Medical University
Russian Federation
Russian Federation
I. I. Gureev
Kursk State Medical University
Russian Federation
Russian Federation
Yu. P. Novomlinets
Kursk State Medical University
Russian Federation
Russian Federation
N. N. Grigoriev
Kursk State Medical University
Russian Federation
Russian Federation
References
1. Афендулов С.А., Журавлев Г.Ю., Краснолуцкий Н.А. Лечение прободной язвы. - М. : Медицина, 2005. - 166 с.
2. Василенко В.Х., Гребенев А.Л. Болезни желудка и двенадцатиперстной кишки. - М. : Медицина, 2016. - 344 c.
3. Ермолов А.С., Смоляр А.Н., Шляховский И.А.
4. лет неотложной хирургии органов брюшной полости в Москве // Хирургия. Журнал им. Н.И. Пирогова. - 2014. - № 5. - C. 7-16.
5. Лазаренко В.А., Суковатых Б.С., Антонов А.Е., Новомлинец Ю.П. Анализ факторов риска развития язвенной болезни в сравнении с другими заболеваниями гепатопанкреатодуоденальной зоны // Курский научно-практический вестник «Человек и его здоровье». - 2009. - № 1. - С. 95-100.
6. Лазаренко В.А., Антонов А.Е. Роль социальных факторов риска в развитии язвенной болезни в Курской области // Курский научно-практический вестник «Человек и его здоровье». - 2016. - № 2. - С. 35-39.
7. Тагиров М.Р., Халилов Х.М., Закиров А.М., Шакиров М.И. Варианты лапароскопического лечения перфоративных дуоденальных язв // Вестник современной клинической медицины. - 2013. - Т. 6, № 5. - С. 158-161.
8. Søreide K., Thorsen K., Søreide J.A. Strategies to improve the outcome of emergency surgery for perforated peptic ulcer // Br J Surg. - 2014. - Vol. 101, N 1. - P. e51-64. - doi: 10.1002/bjs.9368.
9. Lau J.Y., Sung J., Hill C., Henderson C., Howden C.W., Metz D.C. Systematic Review of the Epidemiology of Complicated Peptic Ulcer Disease: Incidence, Recurrence, Risk Factors and Mortality // Digestion. - 2011. - Vol. 84, N 2. - P. 102-113. - doi: 10.1159/000323958.
Review
For citations:
Sukovatykh B.S., Gureev I.I., Novomlinets Yu.P., Grigoriev N.N. Long-term results of surgical treatment of peptic ulcer disease complicated by perforation. Kursk Scientific and Practical Bulletin "Man and His Health". 2017;(3):30-36. (In Russ.) https://doi.org/10.21626/vestnik/2017-3/05
Views:
706
Email this article 