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Treatment of patients with perforated pyloroduodenal ulcers

Uteshev, N.S.; Guliaev, A.A.; Iartsev, P.A.; Zabavskaia, O.A.

Khirurgiia 12: 48-51

2003

ISSN/ISBN: 0023-1207
PMID: 14671605
Document Number: 558565
Results of treatment of 206 patients with perforated gastroduodenal ulcers were analyzed. Atypical clinical picture of perforated ulcer in some patients led to diagnostic mistakes. Diagnostic algorithm including videolaparoscopy in difficult cases is proposed. The study group included 183 patients who have undergone open suturing of perforated ulcer, in 17 patients videolaparoscopic suturing was performed. Combination of perforation with other complications of ulcer disease required extended surgery in 6 patients. Diagnostic algorithm after surgery for correct antiulcer therapy is developed.

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