Current state of elective surgery for peptic ulcer

Mariyko V.A.

Chair of Surgical diseases №2, Medical Institute of Tula State University, Tula, Russia

Romanova N.N.

Tula Regional Clinical Hospital

Kremyansky M.A.

Tula State University, Medical Institute, Chair of Surgical Diseases, Tula, Russia

Tretyakov V.O.

Department of Surgical Diseases №2 of Medical Institute of Tula State University, Tula, Russia

Mariyko A.V.

Tula State University, Medical Institute, Chair of Surgical Diseases, Tula, Russia

Current state of elective surgery for peptic ulcer

Authors:

Mariyko V.A., Romanova N.N., Kremyansky M.A., Tretyakov V.O., Mariyko A.V.

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Journal: Pirogov Russian Journal of Surgery. 2019;(4): 24‑29

DOI: 10.17116/hirurgia201904124

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To cite this article:

Mariyko VA, Romanova NN, Kremyansky MA, Tretyakov VO, Mariyko AV. Current state of elective surgery for peptic ulcer. Pirogov Russian Journal of Surgery. 2019;(4):24‑29. (In Russ.)
https://doi.org/10.17116/hirurgia201904124

Подписка 2025 (Pirogov Russian Journal of Surgery)

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Aim — to analyze the current state of elective surgery for peptic ulcer and to assess its significance for improving the results of treatment of this disease. Material and methods. The analysis included elective procedures for peptic ulcer performed in the surgical department of Tula Regional Clinical Hospital in the period from 2011 to 2015. These data were compared with those for the period 1996—2000 in order to objectively identify current changes in surgery for peptic ulcer. The interval between both periods was 10 years. The main group consisted of 47 patients with peptic ulcer who underwent surgery in 2011—2015. The control group included 254 patients who underwent similar procedures in 1996—2000. Results. Annual number of elective procedures for peptic ulcer decreased 5 times. There was advanced mean age in the main group, 29.8% of patients in the main group were older than 60 years, in the control group — 23%. Male/female ratio in the main group was 1:1, in the control group — 5:1. Prolonged ulcer history was observed in 10.6% of patients of the main group and 3.2% — in the control group. At the end of the last century, the greatest number of scheduled operations was performed for duodenal ulcer, now — for stomach ulcer. There was increased incidence of surgery for post-resection gastric syndrome (17 and 4.8% in both groups, respectively). We noted similar indications for elective surgical treatment of peptic ulcer in both groups. However, the negative feature of current period is significant augmentation of patients with decompensated pyloroduodenal stenosis. The structure of elective operations in 2011—2015 was characterized by significant proportion of decompensated complications of peptic ulcer as a result of prolonged medication. Prolonged postoperative hospital-stay and increased postoperative mortality were noted in the main group. Conclusion. Reduced number of elective procedures for peptic ulcer is associated with changed structure of patients undergoing surgery. Unreasonable prolonged medication aggravates patient state and adversely affects the results of surgical treatment. The current state of elective surgery for peptic ulcer does not correspond to the objective to improve the results of treatment of this disease.

Keywords:

peptic ulcer

elective surgery

pyloroduodenal stenosis

post-gastrectomy syndrome

Authors:

Mariyko V.A.

Chair of Surgical diseases №2, Medical Institute of Tula State University, Tula, Russia

Romanova N.N.

Tula Regional Clinical Hospital

Kremyansky M.A.

Tula State University, Medical Institute, Chair of Surgical Diseases, Tula, Russia

Tretyakov V.O.

Department of Surgical Diseases №2 of Medical Institute of Tula State University, Tula, Russia

Mariyko A.V.

Tula State University, Medical Institute, Chair of Surgical Diseases, Tula, Russia

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