Indications for surgical treatment of hard scarring gastric ulcers

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Durleshter12 V.M.

Kafedra khirurgii #1 fakul'teta povysheniia kvalifikatsii i professional'noĭ perepodgotovki spetsialistov Kubanskogo gosudarstvennogo meditsinskogo universiteta Minzdrava RF, Krasnodar;
Gorodskaia bol'nitsa #2, Krasnodar

Korochanskaia12 N.V.

Kafedra khirurgii #1 fakul'teta povysheniia kvalifikatsii i professional'noĭ perepodgotovki spetsialistov Kubanskogo gosudarstvennogo meditsinskogo universiteta Minzdrava RF, Krasnodar;
Gorodskaia bol'nitsa #2, Krasnodar

Serikova S.N.

Gorodskaia bol'nitsa #2, Krasnodar

Indications for surgical treatment of hard scarring gastric ulcers

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Durleshter12 V.M., Korochanskaia12 N.V., Serikova S.N.

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Journal: Pirogov Russian Journal of Surgery. 2014;(3): 6‑10

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To cite this article:

Durleshter12 VM, Korochanskaia12 NV, Serikova SN. Indications for surgical treatment of hard scarring gastric ulcers. Pirogov Russian Journal of Surgery. 2014;(3):6‑10. (In Russ.)

Подписка 2025 (Pirogov Russian Journal of Surgery)

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It was done the comparative analysis of the morphofunctional state of the upper gastrointestinal tract between 350 patients with effective conservative treatment and 104 patients with hard scarring gastric ulcers. The analysis identified the predictors of ineffective medical treatment and led to deliver the indications for timely surgical treatment. It was identified the next indications for planned organ-preserving surgical treatment of patients with hard scarring gastric ulcers: penetrating and non-healing ulcers with large or gigantic size in case of the adequate medical therapy, high-grade dysplasia and colonic metaplasia of the gastric epithelium in the borders or fundus of the ulcer,ulcers combination with fixed cardio-fundal or fundo-corporal hiatal hernias; hypotonic-hypokinetic type of the gastric and duodenal activity with the development of gastrostasis and pronounced duodenogastric reflux.

Keywords:

hard scarring gastric ulcers

indications for surgical treatment

Authors:

Durleshter12 V.M.

Kafedra khirurgii #1 fakul'teta povysheniia kvalifikatsii i professional'noĭ perepodgotovki spetsialistov Kubanskogo gosudarstvennogo meditsinskogo universiteta Minzdrava RF, Krasnodar;
Gorodskaia bol'nitsa #2, Krasnodar

Korochanskaia12 N.V.

Kafedra khirurgii #1 fakul'teta povysheniia kvalifikatsii i professional'noĭ perepodgotovki spetsialistov Kubanskogo gosudarstvennogo meditsinskogo universiteta Minzdrava RF, Krasnodar;
Gorodskaia bol'nitsa #2, Krasnodar

Serikova S.N.

Gorodskaia bol'nitsa #2, Krasnodar

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