Perforated duodenal ulcer in high risk patients

Beburishvili A.G.

Kafedra fakul'tetskoĭ khirurgii Volgogradskogo gosudarstvennogo meditsinskogo universiteta

Panin S.I.

Kafedra fakul'tetskoĭ khirurgii Volgogradskogo gosudarstvennogo meditsinskogo universiteta

SPIN RSCI: 8303-5413
Scopus AuthorID: 57198338379
ORCID: 0000-0003-4086-2054

Mikhaylov D.V.

Chair of Faculty Surgery, Volgograd State Medical University, Volgograd, Russia

Postolov M.P.

Chair of Faculty Surgery, Volgograd State Medical University, Volgograd, Russia

Perforated duodenal ulcer in high risk patients

Authors:

Beburishvili A.G., Panin S.I., Mikhaylov D.V., Postolov M.P.

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Journal: Pirogov Russian Journal of Surgery. 2018;(11): 39‑43

DOI: 10.17116/hirurgia201811139

Downloaded: 129

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To cite this article:

Beburishvili AG, Panin SI, Mikhaylov DV, Postolov MP. Perforated duodenal ulcer in high risk patients. Pirogov Russian Journal of Surgery. 2018;(11):39‑43. (In Russ.)
https://doi.org/10.17116/hirurgia201811139

Подписка 2025 (Pirogov Russian Journal of Surgery)

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Aim — to improve the outcomes in patients with perforated duodenal ulcers. Material and methods. Cohort study included 456 patients with perforated duodenal ulcer. High risk of mortality was determined in 9% of patients (n=40) considering Boey diagnostic criteria (1982, 1987). There were 19 women and 21 men aged 59±2.8 years. Results. Perforated duodenal ulcer was followed by overall mortality near 3.8%. In high risk group this value was 17.5% (7 out of 40 patients) while expected mortality was 45.5—100% in these patients in view of Boey criteria. The main causes of death were multiple organ failure, pulmonary embolism and acute myocardial infarction. Conclusion. Minimally invasive surgery including step-by-step procedures (mini-laparotomy, laparoscopy and navigation) are the key to improve the outcomes in patients with perforated duodenal ulcer.

Keywords:

perforated ulcer

treatment

mortality

risk factors

Authors:

Beburishvili A.G.

Kafedra fakul'tetskoĭ khirurgii Volgogradskogo gosudarstvennogo meditsinskogo universiteta

Panin S.I.

Kafedra fakul'tetskoĭ khirurgii Volgogradskogo gosudarstvennogo meditsinskogo universiteta

SPIN RSCI: 8303-5413
Scopus AuthorID: 57198338379
ORCID: 0000-0003-4086-2054

Mikhaylov D.V.

Chair of Faculty Surgery, Volgograd State Medical University, Volgograd, Russia

Postolov M.P.

Chair of Faculty Surgery, Volgograd State Medical University, Volgograd, Russia

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