[Clinical and therapeutic aspects in perforated gastroduodenal ulcer]

A total of 591 cases were studied, with perforated gastroduodenal ulcerations, who underwent surgery in the Emergency Clinic of Bucharest in 1978-1979. Of the 591 patients 528 had duodenal perforations, 58 had gastric perforated ulcers, 4 had perforated duodenal ulcers and gastric ulcers penetrating in the pancreas, and one patient had a peptic perforated ulcer. Several factors are studied in this paper, including: age, the interval from the onset of the symptoms to hospitalization, the duration of preoperative preparations, the anatomo-clinical forms of the perforated gastro-duodenal ulcers, the type of surgical treatment, the evolution and the complications after surgery. The surgical interventions were individualized, from one case to the next, according to the general and the local condition of each patient.