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[Multiple peptic ulcers complicated by perforation and profuse hemorrhage].
Vestnik Khirurgii Imeni I. I. Grekova
|March 1, 1976
Summary
Multiple and complicated ulcers caused severe gastroduodenal hemorrhage and perforation in 16.9% of patients. Early extensive resection improved outcomes for some, but mortality remained high in this high-risk group.
Area of Science:
- Gastroenterology
- Surgical Pathology
Context:
- Focuses on patients with abdominal cavity ulcer perforation.
- Highlights cases of profuse gastroduodenal hemorrhage.
Purpose:
- To analyze the incidence and outcomes of multiple and complicated ulcers in patients with perforation and hemorrhage.
- To evaluate the effectiveness of early extensive resection.
Summary:
- 16.9% of 65 patients with ulcer perforation presented with multiple and complicated ulcers and severe hemorrhage.
- These ulcers were diagnosed intraoperatively (4), during reoperation (2), or at autopsy (5).
- Of 11 observed patients, 7 died, while 4 recovered after early extensive resection.
Impact:
- Underscores the critical nature of multiple and complicated ulcers in gastrointestinal bleeding.
- Suggests that early surgical intervention may be beneficial but highlights significant mortality risks.