[Specific features of surgical strategy in gastroduodenal ulcer bleedings in elderly and senile patients]
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Abstract:
An analysis of results of surgical treatment of 107 elderly and senile patients with gastroduodenal ulcer bleedings was made. Emergency operations were fulfilled on 47 patients, urgent operations on 56 patients and planned operations--on 4 patients. Ulcers of large size prevailed. Most of the patients had complications of ulcer disease. Palliative interventions were performed on 27 patients: suturing the vessel--in 20, ablation of the ulcer--in 7. Lethality was 33.3%. Radical operations were performed on 80 patients: resection of the stomach--in 75, vagotomy--in 5. Lethality was 16.3%.
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