THERAPEUTIC AND DIAGNOSTIC TACTICS FOR PERFORATED ULCER CONCURRENT WITH PYLORODUODENAL STENOSIS

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Issue: 
10
Year: 
2016

Professor A. Cherepanin, MD; O. Antonov, MD; Professor M. Negrebov, MD; E. Baulina, Candidate of Medical Sciences; A. Rybalchenko; R. Sherov I.M. Sechenov First Moscow State Medical University

The treatment of complications of peptic ulcer disease is one of the most relevant problems in urgent surgery. The most common complication of pyloroduodenal ulcers is stenosis (18–57% of all peptic ulcer complications); 3–19% of patients have simultaneously a perforated ulcer. The choice of an optimal surgical method and a way to manage the postoperative period, to prevent and treat postoperative complications remains controversial. There is no uniform tactic for managing this category of patients, therefore high overall and postoperative mortality rates remain in both our country and in the world.

Keywords: 
surgery
peptic ulcer disease
complications of peptic ulcer disease
pyloroduodenal stenosis
perforated ulcer



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References: 
  1. Bachev I.I. Faktory riska oslozhnenij jazvennoj bolezni ostrym kro- votecheniem i perforatsiej // Vestnik hirurgii. – 1991; 146 (2): 20–2.
  2. Efimenko N.A., Stojko Ju.M., Kurygin A.A. i dr. Perforativnye gastroduodenal'nye jazvy: patogenez oslozhnenij, ih profilaktika i leche-nie / M., SPb, 2001; 192 s.
  3. Kurbanov K.M. Kompleksnaja diagnostika i hirurgicheskoe lechenie oslozhnennyh duodenal'nyh jazv. Avtoref. dis. … d-ra med. nauk. Dushanbe, 1997; 42 s.
  4. Maloman E.N., Iovchev I.I., Kurka V.I. Hirurgicheskoe lechenie bol'nyh s jazvennym piloroduodenal'nym stenozom // Hirurgija. – 1994; 4: 25–7.
  5. Mamchich V.I., Shuljarenko V.A., Paratsij Z.Z. i dr. Rannjaja diagnostika i lechenie piloroduodenal'noj jazvy, oslozhnennoj stenozov vyhoda iz zhelud-ka // Klinicheskaja hirurgija. – 1992; 8: 38–42.
  6. Okoemov M.N. Hirurgicheskoe lechenie jazvennyh piloroduodenal'nyh stenozov. Avtoref. dis. … d-ra med. nauk. M., 2001; 40 s.
  7. Pazhitnov S.M. Hirurgicheskaja taktika pri stenozirujuschih duodenal' nyh jazvah, sochetajuschihsja s drugimi jazvennymi oslozhnenijami. Avtoref. dis. … kand. med. nauk. SPb, 2000; 172 s.
  8. Pantsyrev Ju.M., Mihalev A.I., Fedorov E.D. Hirurgicheskoe lechenie probodnyh i krovotochaschih piloroduodenal'nyh jazv // Hirurgija. – 2003; 3: 43–9.
  9. Peregudov S.I., Shafalinov V.A. Osobennosti hirurgicheskogo lechenija gastroduodenal'nyh jazv, oslozhnennyh odnovremenno perforatsiej i zheludochno-kishechnym krovotecheniem. Aktual'nye voprosy patogeneza, dia-gnostiki i lechenija peritonita: Vseros. nauchnaja konferentsija. SPb, 2003; s. 34–6.
  10. Sinenchenko G.I., Kurygin A.A., Demko A.E. i dr. Sochetannye oslozhne nija jazvy dvenadtsatiperstnoj kishki / SPb, 2007; 191 s.
  11. Stojko Ju.M., Peregudov S.I., Esjutin I.N. i dr. Osobennosti pallia tivnyh vmeshatel'stv pri piloroduodenal'nyh jazvah, oslozhnennyh odno-vremenno perforatsiej i zheludochno-kishechnym krovotecheniem. Aktual'nye voprosy meditsinskogo obespechenija sotrudnikov orgpnov vnutrennih del i voennosluzhaschih vnutrennih vojsk MVD Rossii. Mat-ly nauchno-prakticheskoj konferentsii, posvjaschennoj 70-letiju meditsinskoj sluzhby GUVD Sankt-Peterburga i Leningradskoj oblasti / SPb, 2001; s. 294–7.
  12. Tolstokorov A.S., Kovalenko Ju.V., Kulakova E.V. i dr. Osobennosti hirurgicheskoj taktiki u bol'nyh s sochetannymi oslozhnenijami jazvennoj bolezni. Mat-ry Vseros. konf. hirurgov / Saratov, 2003; s. 221.
  13. Hadzhiev O.Ch., Klishevich I.B., Babalich A.K. i dr. Hirurgicheskaja takti ka pri oslozhnennoj jazvennoj bolezni zheludka i dvenadtsatiperstnoj kishki. // Eksperimental'na i klinichna meditsina. – 2004; 3: 167–70.
  14. Blomgren L. Perforated peptic ulcer: Long-term results after simple closure in the elderly // World J. Surg. – 1997; 21 (4): 412–5.
  15. Fadil A., Moumen M., Bellakhdar A. et al. Les stenoses pyloro-duodenales 15. d’origine ulcereuse a propos de 260 cas // J. Chir. Paris. – 1992; 129 (1): 27–30.
  16. Winkeltau G. Die chirurgische Therapie in Behandlungskonzept der 16. Ulcuskrankheit // Leber, Magen, Darm. – 1988; 5 (18): 229–34.