The perforated gastroduodenal ulcer. Clinical aspects and diagnosis as well as treatment and results
Fux, H.D.; Blindow, D.; Blindow, B.; Kienzle, H.F.
Fortschritte der Medizin 97(33): 1421-1428
1979
ISSN/ISBN: 0015-8178 PMID: 385471 Document Number: 148563
Reviewing our cases from 1960-1978 an increasing rate of perforation in gastroduodenal ulcers is registered. The perforation-rate of all treated ulcers is 17%. The most important data of anamnesis and clinical findings are analyzed. The diagnosis was correct preoperatively in 93,5%. The diagnosis has to be established as soon as possible, as the prognosis depends on surgical therapy in due time. General state, duration of anamnesis and the severity of peritonitis are criteria for deciding on suture of the perforated ulcer or resection therapy. Both--suture and resection--show identical late results, if indication was correct. The lethality in patients with a perforated ulcer is high and depends on duration of perforation, age and general state of the patient as well as severity of peritonitis. In our collective lethality was 26%. The good early results after resection therapy are depending on the selected collective and on the fact, that resection therapy is performed under better circumstances than suture.