[Surgical treatment of patients with bleeding stomach ulcers]

The results of treatment of 480 patients with bleeding gastric ulcers are presented. The more wide use of the Billroth-I gastric resection (135 patients) versus Billroth-II gastric resection (54 patients) permitted to reduce the incidence of early postoperative complications from 42.6 to 15.6%, and lethality--from 24.1 to 3.7%. The use of therapeutical tactics based on the endoscopic characteristic of a source of bleeding, evaluation of the dynamics of pathological process, severity degree of blood loss with regard for location and size of the ulcers, and with regard as well for the differential approach to the choice of a method of operative intervention permitted to reduce the total lethality from 22.8 to 7.2%, lethality after the emergency operations--from 34.4 to 13.5%, total postoperative lethality--from 23.8 to 9.5%, to increase the specific weight of radical operations from 43.8 to 69.7%, reduce lethality after conservative treatment of the patients from 21.5 to 3.7% when compared with that in active-expectant tactics.