[Current state of elective surgery for peptic ulcer]

Area of Science:

• Gastroenterology
• Surgical Oncology
• Clinical Medicine

Background:

• Peptic ulcer disease remains a significant health concern requiring surgical intervention in complex cases.
• Elective surgery for peptic ulcer has seen shifts in patient demographics and surgical indications over the past decade.
• Understanding these changes is crucial for optimizing treatment strategies and improving patient outcomes.

Purpose of the Study:

• To analyze the current trends in elective surgery for peptic ulcer.
• To evaluate the impact of these trends on treatment outcomes.
• To assess the significance of elective surgery in the contemporary management of peptic ulcer disease.

Main Methods:

• Comparative analysis of elective peptic ulcer surgeries performed between 2011-2015 and 1996-2000.
• Inclusion of 47 patients in the main group (2011-2015) and 254 in the control group (1996-2000).
• Evaluation of patient demographics, ulcer history, surgical indications, and postoperative outcomes.

Main Results:

• A five-fold decrease in annual elective peptic ulcer procedures was observed.
• Patients undergoing surgery were older, with a higher proportion of prolonged ulcer history and stomach ulcer as the primary indication.
• Increased incidence of surgery for post-resection gastric syndrome and decompensated pyloroduodenal stenosis was noted, alongside prolonged hospital stays and higher mortality rates.

Conclusions:

• The declining number of elective peptic ulcer surgeries correlates with a changing patient profile and increased complexity of cases.
• Inappropriate prolonged medical treatment negatively impacts patient condition and surgical results.
• Current elective surgical practices for peptic ulcer disease are not effectively improving treatment outcomes.