[Treatment of patients with perforated gastroduodenal ulcer]

The immediate results of treatment of 114 patients with perforating gastroduodenal ulcer were analysed. The causes of late hospitalization and late operations and their effect on postoperative complications and mortality are discussed. Preference is given to closure of the perforation with sutures (108 patients); closure of the perforation with creation of a gastroentero-anastomosis was carried out in 3 and primary resection of the stomach in 3 more patients. Complications occurred in the immediate postoperative period in 8 patients (7%), which were due either to late admission to the hospital or to delayed operative intervention. The postoperative mortality rate was 7%. Early hospitalization and early operative intervention are the real means of improving the results of treating patients with perforating gastroduodenal ulcer.