Why should we refuse simple suturing of duodenal ulcer complicated by perforation?

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Vachev A.N.

Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia

Koryttsev V.K.

Kafedra fakul'tetskoĭ khirurgii Samarskogo gosudarstvennogo meditsinskogo universiteta, Samarskaia GKB #1 im. N.I. Pirogova

Antropov I.V.

Samarskaia gorodskaia klinicheskaia bol'nitsa #1 im. N.I. Pirogova

Kozlov A.A.

Kafedra i klinika fakul'tetskoĭ khirurgii, kafedra obshcheĭ i klinicheskoĭ patologii Samarskogo gosudarstvennogo meditsinskogo universiteta, Samarskaia GKB #1 im. N.I. Pirogova

Why should we refuse simple suturing of duodenal ulcer complicated by perforation?

Authors:

Vachev A.N., Koryttsev V.K., Antropov I.V., Kozlov A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2018;(9): 42‑45

DOI: 10.17116/hirurgia2018090142

Views: 2599

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To cite this article:

Vachev AN, Koryttsev VK, Antropov IV, Kozlov AA. Why should we refuse simple suturing of duodenal ulcer complicated by perforation?. Pirogov Russian Journal of Surgery. 2018;(9):42‑45. (In Russ.)
https://doi.org/10.17116/hirurgia2018090142

Подписка 2025 (Pirogov Russian Journal of Surgery)

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Aim. To determine the role of simple suturing of perforated duodenal ulcer. Material and methods. There were 170 patients with perforated duodenal ulcer. Patients were divided into 2 groups: group 1 — 40 patients who underwent simple closure of the ulcer; group 2 — 130 patients who underwent Judd pyloroplasty with ulcerative defect excision. Abdominal effusion nature and severity of peritonitis were comparable in both groups. Results. Mortality was significantly higher in group of simple suturing of ulcerative defect. Conclusion. Simple closure of perforated duodenal ulcers should be discarded.

Keywords:

duodenal ulcer

ulcer suturing

perforation

Authors:

Vachev A.N.

Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia

Koryttsev V.K.

Kafedra fakul'tetskoĭ khirurgii Samarskogo gosudarstvennogo meditsinskogo universiteta, Samarskaia GKB #1 im. N.I. Pirogova

Antropov I.V.

Samarskaia gorodskaia klinicheskaia bol'nitsa #1 im. N.I. Pirogova

Kozlov A.A.

Kafedra i klinika fakul'tetskoĭ khirurgii, kafedra obshcheĭ i klinicheskoĭ patologii Samarskogo gosudarstvennogo meditsinskogo universiteta, Samarskaia GKB #1 im. N.I. Pirogova

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