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[Why should we refuse simple suturing of duodenal ulcer complicated by perforation?]
A N Vachev1, V K Korytzev1, I V Antropov1
1Samara State Medical University, Samara, Russia.
Aim:
To determine the role of simple suturing of perforated duodenal ulcer.
Material And Methods:
There were 170 patients with perforated duodenal ulcer. Patients were divided into 2 groups: group 1 - 40 patients who underwent simple closure of the ulcer; group 2 - 130 patients who underwent Judd pyloroplasty with ulcerative defect excision. Abdominal effusion nature and severity of peritonitis were comparable in both groups.
Results:
Mortality was significantly higher in group of simple suturing of ulcerative defect.
Conclusion:
Simple closure of perforated duodenal ulcers should be discarded.
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