| Autor: |
K, Kuttila, T, Havia, E, Pekkala, T, Ali-Melkkilä |
| Rok vydání: |
1991 |
| Předmět: |
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| Zdroj: |
Annales chirurgiae et gynaecologiae. 80(1) |
| ISSN: |
0355-9521 |
| Popis: |
During the years 1973-1985, 145 patients with acute peptic ulcer haemorrhage were treated surgically at the Department of Surgery, Turku University Central Hospital. The bleeding site was gastric ulcer in 76 patients; 58 of these were treated by gastric resection and 17 by ulcer excision combined with vagotomy and pyloroplasty. Forty-two out of 69 patients with bleeding duodenal ulcer were treated with partial gastrectomy, the remaining with transfixion and vagotomy and pyloroplasty. The rebleeding rate was 2% and reoperation rate 9% among the patients who had a resection. In contrast 19% of the transfixed and 12% of ulcer excision cases rebled. The primary overall mortality was 12%; 44% of the patients with recurrent bleeding died. Because rebleeding was the most important cause of mortality, partial gastrectomy in bleeding gastric as well as duodenal ulcer may be preferable. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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