[The surgical procedure in hemorrhages from acute ulcers and erosions in the gastroduodenal area]. / Khirurgicheskaia taktika pri krovotecheniiakh iz ostrykh iazv i érozii gastroduodenal'noi zony.

ABSTRACT

The experience obtained in treatment of 132 patients with acute ulcers and erosions of gastroduodenal area (GDA) is presented. Based on the analysis of surgical treatment in 38 patients with acute ulcers of the stomach and the duodenum, complicated with bleeding, the necessary scope of diagnostic modalities was suggested and substantiated, the terms and extent of surgical intervention were determined. The criteria for determining surgical policy in bleeding from acute ulcers and erosions of GDA were based on the intensity of blood loss and the endoscopical characteristics of acute ulcers (size, multiplicity, location). The necessity of computer pH-metry for optimization of the extent and method of surgical option in patients with acute ulcers and erosions of GDA is emphasized. In early postoperative period the authors have applied the method of external decompression of the stomach and the duodenum with enteral probe feeding. The results of treatment in all operated patients have been studied. Postoperative lethality made up 5.3%.