[Peptic ulcer is a risk factor in the surgical treatment of pulmonary tuberculosis]

Peptic ulcer of the stomach and duodenum is the most common (10-18%) concomitant gastrointestinal pathology in phthisiosurgical patients. Treatment of these patients presents a challenge due to a drastic reduction in the efficiency of oral antibacterial therapy resulted from poor tolerability of chemical drugs and to a risk for surgical complications particularly in the early period after lung surgery. In 1996-2002, a total of 495 patients with tuberculosis at various sites were endoscopically studied; peptic ulcer in different phases was detected in 30.9% of the patients. There has been a considerable increase in the incidence of peptic ulcer among phthisiosurgical patients in the past 3 years (up to 16-17% among those undergone lung surgery for tuberculosis). A package of measures has been developed to reduce the incidence of life-threatening complications due to peptic ulcer in the postoperative period. It is concluded that peptic ulcer is a significant risk factor in phthisiosurgery as a serious contraindication to planned surgery and as a source of postoperative complications.